MELINDA DIANE HUFFMAN (FNP-C) – Family Nurse Practitioner, NPI 1174617955

MELINDA DIANE HUFFMAN (FNP-C) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP110123 (TX). The NPI Number for MELINDA DIANE HUFFMAN (FNP-C) is 1174617955

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MELINDA DIANE HUFFMAN (FNP-C)
NPI
1174617955
Phone
(214) 743-1200
Address
4645 Samuell Blvd
Enumeration Date
3 October 2006
Last Update Date
8 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2147436159
Graduation Year
2000 (26 years ago)
PAC ID
0345439113
Group Practice PAC ID
2062308091
Professional Enrollment ID
I20110110000257
Address ID
TX752164531DA3330XRDXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MELINDA DIANE HUFFMAN (FNP-C)

  • 4645 Samuell Blvd

    Dallas, TX 752286826

    Phone: (214) 743-1200

    Type: Location

  • 1345 River Bend Dr

    Dallas, TX 752476943

    Phone: (214) 743-6188

    Type: Location

  • 3330 S LANCASTER RD

    DALLAS, TX 752164531

    Phone: (214) 743-1200

    Type: Location

  • 1340, River Bend Drive, Dallas, Dallas County, Texas, 75247, United States

    DALLAS, TX 752474914

    Phone: (214) 743-6188

    Type: Location

  • 3324, Hall Johnson Road, Grapevine, Tarrant County, Texas, 76051, United States

    GRAPEVINE, TX 760516816

    Phone: (817) 481-2629

    Type: Mailing

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: 2011-01-10

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
I20110110000257INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75228)

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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: 2062308091View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Mental Health CounselorTX
Nurse PractitionerTX
P S Y C H I A T R YTX
P S Y C H I A T R YTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I cross-check MELINDA DIANE HUFFMAN (FNP-C) using NPI 1174617955?
NPI 1174617955 belongs to MELINDA DIANE HUFFMAN (FNP-C); compare other details if you need extra assurance.
Active or inactive — what applies to MELINDA DIANE HUFFMAN (FNP-C)?
You should see MELINDA DIANE HUFFMAN (FNP-C) as active in CMS-hosted NPPES data.
What area of care is associated with MELINDA DIANE HUFFMAN (FNP-C)?
MELINDA DIANE HUFFMAN (FNP-C)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MELINDA DIANE HUFFMAN (FNP-C)?
Travel planning: use Dallas, Texas as the reference point for MELINDA DIANE HUFFMAN (FNP-C), then confirm.
Does MELINDA DIANE HUFFMAN (FNP-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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