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BRENNA MELICK
NPI 1053250167
Nurse Practitioner - Acute Care in Hackensack, NJ

Active since March 25, 2026PECOS EnrolledAccepts Medicare Assignment
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601(551) 295-8223 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brenna Melick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENNA MELICK (NPI 1053250167) is an individual acute care provider in Hackensack, New Jersey, licensed in New Jersey (26NJ15586600) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053250167
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameBRENNA MELICK
Location Address2 UNIVERSITY PLZ STE 204Hackensack, NJ 07601-6211
Mailing Address650 Maryville University DrSaint Louis, MO 63141-5849
Phone(551) 295-8223
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 25, 2026
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1053250167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NJ · 26NJ15586600
2 UNIVERSITY PLZ STE 204, Hackensack, NJ 07601
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Secondary Practice Location 1

Location 1650 Maryville University DrSaint Louis, MO 63141-5849 · Phone (800) 627-9855

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brenna Melick is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406329549
PECOS Enrollment IDI20260622000529
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Brenna Melick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ennoble Hc Nj II PC
0.1 mi
Geriatric Medicine
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 90 clinicians in this Medicare group
NPI 1871475806 (551) 295-8223
Ennoble Hc Nj III PC
0.1 mi
Geriatric Medicine
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 90 clinicians in this Medicare group
NPI 1043192099 (551) 295-8223
Ennoble Hc Nj PC
0.4 mi
Geriatric Medicine
2 UNIVERSITY PLZ
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 115 clinicians in this Medicare group
NPI 1306500764 (973) 435-9463

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREEANA DICKSON
Nurse Practitioner
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (973) 435-9463
ELIZABETH SOBECK APN
Nurse Practitioner (Adult Health)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (973) 241-1356
ENNOBLE HC NJ III PC
Family Medicine (Geriatric Medicine)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (551) 295-8223
TAYLOR NOELLE PALMER
Nurse Practitioner (Gerontology)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (973) 567-3203
MARVA MITCHELL-SPRUAL NP-C
Nurse Practitioner (Family)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (973) 241-1356
ENNOBLE HC MSO HOLDCO INC
Family Medicine (Geriatric Medicine)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (551) 295-8223
MISS SUZETT SIMONE SHAW APN
Nurse Practitioner (Primary Care)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (551) 295-8223
ENNOBLE HC TX II PA
Family Medicine (Geriatric Medicine)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (551) 295-8223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenna Melick's NPI number?

The NPI number for Brenna Melick is 1053250167. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Where is Brenna Melick located?

Brenna Melick practices at 2 University Plz Ste 204, Hackensack, NJ 07601. The listed phone number is (551) 295-8223.

What is Brenna Melick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Brenna Melick enrolled in Medicare?

Yes. Brenna Melick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brenna Melick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenna Melick reassigns Medicare benefits to 3 organizations: Ennoble Hc Nj II PC (Hackensack, NJ), Ennoble Hc Nj III PC (Hackensack, NJ) and Ennoble Hc Nj PC (Hackensack, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brenna Melick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brenna Melick was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.