MELINDA MARIE VICTORSON (APRN-CNP) – Family Nurse Practitioner, NPI 1639754468

MELINDA MARIE VICTORSON (APRN-CNP) is a healthcare provider. based in Henderson, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP. They hold a License No. 836430 (NV). The NPI Number for MELINDA MARIE VICTORSON (APRN-CNP) is 1639754468

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MELINDA MARIE VICTORSON (APRN-CNP)
NPI
1639754468
Phone
(702) 419-6668
Address
2329 THAYER AVE
Enumeration Date
12 March 2021
Last Update Date
17 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7026595604
Graduation Year
2020 (6 years ago)
PAC ID
6406246974
Group Practice PAC ID
9335659630
Professional Enrollment ID
I20211124001790
Address ID
NV891216234LA3830XRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for MELINDA MARIE VICTORSON (APRN-CNP)

  • 2329 THAYER AVE

    HENDERSON, NV 890745368

    Phone: (702) 419-6668

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211124001790INurse PractitionerNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes16660$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes1615$0
99496Transitional care management services for problem of high complexity1312$0
View full utilization report →

Insurance plans in this area (ZIP 89074)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335659630View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerNV
Internal MedicineNV

Reviews

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Frequently asked questions

What federal number belongs to MELINDA MARIE VICTORSON (APRN-CNP)?
The federal identifier for MELINDA MARIE VICTORSON (APRN-CNP) is NPI 1639754468.
Does this profile mean MELINDA MARIE VICTORSON (APRN-CNP) is currently active?
Yes — MELINDA MARIE VICTORSON (APRN-CNP) appears active in the national provider directory.
Does MELINDA MARIE VICTORSON (APRN-CNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MELINDA MARIE VICTORSON (APRN-CNP). Clinical services aligned with this taxonomy classification.
Where is MELINDA MARIE VICTORSON (APRN-CNP)'s primary listing?
We display Henderson, Nevada because that is what the record indicates for MELINDA MARIE VICTORSON (APRN-CNP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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