Melissa Catherine Ennis, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Tustin, CA

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Melissa Catherine Ennis, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Tustin, California. Her current practice location is 17612 17th St, Tustin, California. You can reach out to her office (for appointments etc.) via phone at (216) 544-6857.

Melissa Catherine Ennis is licensed to practice in California (license number 95022314) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548989650.

Contact Information

Melissa Catherine Ennis, MSN, APRN, FNP-C
17612 17th St,
Tustin, CA 92780-1962
(216) 544-6857
Not Available

Map and Direction




Provider's Profile

Full NameMelissa Catherine Ennis
GenderFemale
SpecialityNurse Practitioner - Family
Location17612 17th St, Tustin, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548989650
  • Provider Enumeration Date: 08/23/2022
  • Last Update Date: 10/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133584121
  • Enrollment ID: I20230426001799

Medical Identifiers

Medical identifiers for Melissa Catherine Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548989650NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 95160974 (California)Secondary
163WE0003XRegistered Nurse - Emergency 95160974 (California)Secondary
363L00000XNurse Practitioner 95022314 (California)Secondary
363LF0000XNurse Practitioner - Family 95022314 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Melissa Catherine Ennis allows following entities to bill medicare on her behalf.
Entity NameTeam Physicians Of Northern California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649692716
PECOS PAC ID: 7113215146
Enrollment ID: O20161006002407

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa Catherine Ennis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Melissa Catherine Ennis, MSN, APRN, FNP-C
17612 17th St,
Tustin, CA 92780-1962

Ph: (216) 544-6857		Melissa Catherine Ennis, MSN, APRN, FNP-C
17612 17th St,
Tustin, CA 92780-1962

Ph: (216) 544-6857

Reviews and Comments


Nurse Practitioner Nurses in Tustin, CA

Mr. Michael Sean Kelly, NP
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Phone: 714-769-6090    
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Phone: 714-352-5800    
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Practice Location: 14971 Holt Ave, Tustin, CA 92780
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Practice Location: 1 Hope Dr, Tustin, CA 92782
Phone: 714-247-0300    Fax: 714-259-1598
Amanda Joy Hall, NP
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Phone: 714-838-8878    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.