MELINDA A DOUGLAS (CRNP) – Nurse Practitioner, NPI 1679845192
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for MELINDA A DOUGLAS (CRNP)
1034 Grove St
Meadville, PA 163352945
Phone: (814) 333-5800
Fax: (814) 333-5818
Type: Location
406 W Oak St
Titusville, PA 163541499
Phone: (814) 827-9770
Fax: (814) 827-3556
Type: Location
906 Washington St
Conneautville, PA 164067138
Phone: (814) 587-2246
Fax: (814) 587-4144
Type: Location
1330 W 26TH ST
ERIE, PA 165081402
Phone: (814) 459-9300
Fax: (814) 459-9300
Type: Mailing
1034 GROVE ST
MEADVILLE, PA 163352945
Phone: (814) 373-5266
Fax: (814) 373-5269
Type: Mailing
640 ALDEN ST
MEADVILLE, PA 163352348
Phone: (814) 373-5266
Fax: (814) 373-5269
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 116 Open Payments records for all available years, with a total value of $2,066.
Total Amount is formed as General ($2,066) + Research ($0) + Ownership ($0) = $2,066.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: ABBVIE INC. ($276).
Total Amount
$2,066
General + Research + Ownership
Payments
116
Total payment records
General Amount
$2,066
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $276 |
| Alkermes, Inc. | $216 |
| Otsuka America Pharmaceutical, Inc. | $210 |
| Teva Pharmaceuticals USA, Inc. | $153 |
| Merck Sharp & Dohme LLC | $152 |
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: 2012-03-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120313000309 | I | Nurse Practitioner | PA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 16335)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | PA | |
| Orthopedic Surgery | PA | |
| Nurse Practitioner | PA | |
| Internal Medicine | PA | |
| Internal Medicine | PA | |
| Nurse Practitioner | PA | |
| Diagnostic Radiology | PA | |
| Physician Assistant | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | PA |
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