MELISSA ANN KRUSE APRN NPI 1194296848

NPI Information

  • NPI: 1194296848
  • Provider Name: MELISSA ANN KRUSE, APRN
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1515 22ND AVE N
    ST PETERSBURG, FL
    ZIP 33704
  • Phone: (727) 322-4227

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NPI Details

Melissa Ann Kruse, APRN is a gerontology nurse practitioner in St Petersburg, FL with 14 years of experience. Melissa Ann Kruse, APRN NPI is 1194296848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1515 22ND AVE N
ST PETERSBURG, FL
ZIP 33704-113
Phone: (727) 322-4227

The NPI 1194296848 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/6/2018 and was last updated on 6/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologyAPRN11000448FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1APRN11000448OTHERFLORIDAAPRN LICENSE
2103124800MEDICAIDFLORIDA
3XK51VOTHERFLORIDABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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