MELISSA ANN KRUSE (NPI# 1194296848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194296848 |
| Entity Type | Individual |
| Full Name | MELISSA ANN KRUSE |
| Credential | APRN |
| Practice Address |
7406 Fullerton St Jacksonville FL 32256-3552 |
| Practice Telephone | 8133106250 |
| Mailing Telephone | 8133106250 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN11000448 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN11000448 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 103124800 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | XK51V | 01 |
| FL | DEA | MK5247677 | 01 |
| FL | APRN LICENSE | APRN11000448 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637 | 8138718200 | 8133575501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518291541 | Melissa Kruse | Massage Therapist | 640 Santa Fe Meadows Dr. Ne, Rio Rancho, NM 87144 | 2009-09-23 |
| 1356455083 | Melissa Dawn Kruse | Social Worker | 3847 Pine Grove Ave, Suite A, Fort Gratiot, MI 48059-4265 | 2006-08-19 |
| 1164407276 | Melissa Sue Kruse | Dentist | 755 Scott Cir, Hickam Afb, HI 96853-5399 | 2005-12-12 |
| Street Address |
7406 FULLERTON ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-3552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659362424 | Drina Geraldine Portman | Nurse Practitioner | 7406 Fullerton St, Jacksonville, FL 32256-3552 | 2005-11-02 |
| 1730720657 | Pia Benzer | Nurse Practitioner | 7406 Fullerton St, Jacksonville, FL 32256-3552 | 2019-10-02 |
| 1831620681 | Desiree Traina | Prevention Professional | 7406 Fullerton St, 200, Jacksonville, FL 32256-3552 | 2017-03-23 |
| 1699206714 | Jennifer Lynn Haughey | Nurse Practitioner | 7406 Fullerton St, Jacksonville, FL 32256-3552 | 2017-03-21 |
| 1801249552 | Roseline Raphael | Nurse Practitioner | 7406 Fullerton St, Jacksonville, FL 32256-3552 | 2016-07-18 |
| 1831547025 | Cathleen Minacci | Nurse Practitioner | 7406 Fullerton St, Suite 200, Jacksonville, FL 32256-3552 | 2016-05-27 |
| 1083078208 | Danita Stevenson Dixon | Nurse Practitioner | 7406 Fullerton St, Jacksonville, FL 32256-3552 | 2016-04-13 |
| 1154785921 | Jil Thomas | Nurse Practitioner | 7406 Fullerton St, Jacksonville, FL 32256-3552 | 2016-04-07 |
| 1093175705 | Jennifer Kramer | Registered Nurse | 7406 Fullerton St, Suite 200, Jacksonville, FL 32256-3552 | 2016-02-24 |
| 1225409725 | Alicia F Griffin | Nurse Practitioner | 7406 Fullerton St, Suite 2000, Jacksonville, FL 32256-3552 | 2015-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786338 | Bernardo C Lobusta Jr. | Nurse Practitioner | 13500 Sutton Park Dr S Ste 504, Jacksonville, FL 32224-5290 | 2020-09-26 |
| 1720695513 | Kristin Browning | Nurse Practitioner | 1260 Mcduff Ave S # 4, Jacksonville, FL 32205-8030 | 2020-09-25 |
| 1780295667 | Sharnice Letia White | Nurse Practitioner | 11751 Lake Bend Cir, Jacksonville, FL 32218-9057 | 2020-08-13 |
| 1891305082 | Kayla Susan Weller | Nurse Practitioner | 4361 Gadsden Ct, Jacksonville, FL 32207-6218 | 2020-08-03 |
| 1952925315 | Michelle Benefield | Nurse Practitioner | 605 W Beaver St, Jacksonville, FL 32202-4722 | 2020-06-02 |
| 1831739887 | Melanie Bautista | Nurse Practitioner | 4540 Southside Blvd Ste 401, Jacksonville, FL 32216-5488 | 2020-01-07 |
| 1235776279 | Janine Mancusi | Nurse Practitioner | 417 Brody Cove Trl, Jacksonville, FL 32225-5113 | 2019-12-10 |
| 1114576881 | Delesa Gabrielle Bradley | Nurse Practitioner | 1602 S Jackson St, Jacksonville, TX 75766-3028 | 2019-09-05 |
| 1508411190 | Jaclyn Michelle Bowden | Nurse Practitioner | 6930 Bonneval Rd Ste 2, Jacksonville, FL 32216-6084 | 2019-08-09 |
| 1386297414 | Rebecca Newell | Nurse Practitioner | 3151 Blue Heron Dr N, Jacksonville, FL 32223-2706 | 2019-07-17 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.