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

Q: 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.

Q: What is Brenna Melick's specialty?

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

Q: 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 39 days 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.

Active since March 25, 2026PECOS Enrolled

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: August 02, 2026.

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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 and maintains a secondary practice location in Saint Louis.

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

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brenna Melick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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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