Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARLENE MELUCCI PMHNP
NPI 1376378380
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since September 09, 2024PECOS Enrolled
4510 EXECUTIVE DR STE 108, SAN DIEGO, CA 92121(619) 333-3515 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2026, Sep 9, 2024 (2 updates tracked since 2024).

About Marlene Melucci Pmhnp NPPES

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

MARLENE MELUCCI PMHNP (NPI 1376378380) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95031886) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chula Vista.

NPPES Registry Identity

NPI1376378380
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARLENE MELUCCICredential: PMHNP
Location Address4510 EXECUTIVE DR STE 108San Diego, CA 92121-3022
Mailing Address4510 Executive Dr Ste 108San Diego, CA 92121-3022 · (633) 333-3515
Sole ProprietorNo
Enumeration DateSeptember 9, 2024
Last NPPES UpdateSeptember 11, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1376378380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95031886
4510 EXECUTIVE DR STE 108, San Diego, CA 92121

Secondary Practice Location 1

Location 11161 Bay Blvd Ste BChula Vista, CA 91911-2670 · Phone (619) 585-7686

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlene Melucci Pmhnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Marlene Melucci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
4510 EXECUTIVE DR STE 108
San Diego, CA 92121
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group

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 92121 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 5

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

Nurse Practitioner (Psychiatric/Mental Health)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
Nurse Practitioner (Psychiatric/Mental Health)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
Physical Therapist
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
Psychiatry & Neurology (Psychiatry)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121

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 Marlene Melucci's NPI number?

The NPI number for Marlene Melucci is 1376378380. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Marlene Melucci located?

Marlene Melucci practices at 4510 Executive Dr Ste 108, San Diego, CA 92121. The listed phone number is (619) 333-3515.

What is Marlene Melucci's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Marlene Melucci enrolled in Medicare?

Yes. Marlene Melucci is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marlene Melucci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlene Melucci reassigns Medicare benefits to Aloha Integrative Health (San Diego, CA). The 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 Marlene Melucci'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 Marlene Melucci was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 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.