Provider Demographics
NPI:1922148147
Name:SCHELL, MELANIE C (FNP-BC)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:C
Last Name:SCHELL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 ROSEHILL RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-1762
Mailing Address - Country:US
Mailing Address - Phone:517-212-2008
Mailing Address - Fax:517-212-9023
Practice Address - Street 1:3550 BRIARFIELD BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-9184
Practice Address - Country:US
Practice Address - Phone:419-452-2140
Practice Address - Fax:419-873-6327
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP08596363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3106221Medicaid
OHH069710Medicare PIN
Q66081Medicare UPIN