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ALICYN MELLEMA DNP, CRNA
NPI 1225728595
Nurse Anesthetist, Certified Registered in Atlanta, GA

Active since May 10, 2023Accepts Medicare Assignment
550 PEACHTREE ST NE, ATLANTA, GA 30308(612) 812-4007 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2023, May 18, 2023, May 10, 2023 (3 updates tracked since 2023).

About Alicyn Mellema Dnp, Crna NPPES

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

ALICYN MELLEMA DNP, CRNA (NPI 1225728595) is an individual nurse anesthetist, certified registered in Atlanta, Georgia, licensed in Georgia (RN322729) and active in the NPI registry since May 2023. She is affiliated with Emory University Hospital Midtown and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225728595
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameALICYN MELLEMACredential: DNP, CRNA
Location Address550 PEACHTREE ST NEAtlanta, GA 30308-2212
Mailing Address60 11th St Ne Apt 2021Atlanta, GA 30309-4388 · (612) 812-4007
Phone(612) 812-4007
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 10, 2023
Last NPPES UpdateAugust 15, 20233 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1225728595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in GA · RN322729
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
550 PEACHTREE ST NE, Atlanta, GA 30308
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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

Alicyn Mellema Dnp, Crna 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 ID5193189264
PECOS Enrollment IDI20230908001342

Medicare Billing Reassignments

5

Medicare enrollment records show Alicyn Mellema reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Urology Institute Of Georgia PC
2.4 mi
Urology
1800 PEACHTREE ST NW STE 700
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 95 clinicians in this Medicare group
NPI 1457997686 (678) 344-8900
The Emory Clinic Inc
4.1 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
North Atlanta Anesthesia Professionals, LLC
9.8 mi
Anesthesiology
1000 JOHNSON FY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 571 clinicians in this Medicare group
NPI 1982349296 (855) 709-4535
Advanced Urology Anesthesia, LLC
23 mi
Specialist
1557 JANMAR RD.
Snellville, GA 30078
  • Reassigned Medicare billing, Georgia enrollment
  • 75 clinicians in this Medicare group
NPI 1215365242 (678) 344-8900
Emory Specialty Associates, LLC
63 mi
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group
NPI 1407864168 (404) 778-4888

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30308 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

DR. DOMINIC JOSEPH PAPANDRIA M.D.
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
MR. GRANT MICHAEL MURY PAA
Anesthesiologist Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 778-3900
NECHAMA DINA EZAGUI PA-S
Physician Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
SARAH NELSON
Occupational Therapist
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
ADAM GARDI MD
Otolaryngology
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 259-6299
LINDSEY BORNSTEIN GOTTLIEB MD
Internal Medicine (Infectious Disease)
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-8114
JONES SURGICAL GROUP LLC
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
MR. BRIAN KEITH BROWN FNP-C
Internal Medicine
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-2505

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 Alicyn Mellema's NPI number?

The NPI number for Alicyn Mellema is 1225728595. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Alicyn Mellema located?

Alicyn Mellema practices at 550 Peachtree St NE, Atlanta, GA 30308. The listed phone number is (612) 812-4007.

What is Alicyn Mellema's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Alicyn Mellema enrolled in Medicare?

Yes. Alicyn Mellema 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 Alicyn Mellema's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicyn Mellema reassigns Medicare benefits to 5 organizations: Advanced Urology Institute Of Georgia PC (Atlanta, GA), The Emory Clinic Inc (Atlanta, GA), North Atlanta Anesthesia Professionals, LLC (Atlanta, GA), Advanced Urology Anesthesia, LLC (Snellville, GA) and Emory Specialty Associates, LLC (Lagrange, GA). 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 Alicyn Mellema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alicyn Mellema affiliated with any hospitals?

According to CMS data, Alicyn Mellema is affiliated with Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Alicyn Mellema was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.