RAVEN JAE MELSON DO
NPI 1336999101
Student in an Organized Health Care Education/Training Program in Lexington, KY

Q: What is Raven Melson's NPI number?

The NPI number for Raven Melson is 1336999101. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Raven Melson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Raven Melson was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 25, 2024PECOS Enrolled

900 S LIMESTONE CTW 304, LEXINGTON, KY 40536(859) 323-6561(859) 257-2605 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Raven Jae Melson Do NPPES

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

RAVEN JAE MELSON DO (NPI 1336999101) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336999101

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameRAVEN JAE MELSONCredential: DO

Location Address900 S LIMESTONE CTW 304Lexington, KY 40536-0001

Mailing Address900 S Limestone Ctw 304Lexington, KY 40536-0001 · (859) 323-6561 · Fax (859) 257-2605

Phone(859) 323-6561

Fax(859) 257-2605

Sole ProprietorNo

Enumeration DateMarch 25, 2024

NPPES CertifiedMarch 25, 2024

✔ NPI 1336999101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

900 S LIMESTONE CTW 304, Lexington, KY 40536

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raven Jae Melson Do 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.

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. MISA ITO MD PHD

Student in an Organized Health Care Education/Training Program