MELIA FORTENBERRY NP
NPI 1376391268
Nurse Practitioner - Acute Care in Meridian, MS

Q: What is Melia Fortenberry's NPI number?

The NPI number for Melia Fortenberry is 1376391268. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Q: What is Melia Fortenberry'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 Melia Fortenberry was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 07, 2024PECOS EnrolledAccepts Medicare Assignment

1314 19TH AVE, MERIDIAN, MS 39301(601) 703-9590 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 4, 2026, Jul 22, 2026, May 7, 2024 (3 updates tracked since 2024).

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About Melia Fortenberry Np NPPES

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

MELIA FORTENBERRY NP (NPI 1376391268) is an individual acute care provider in Meridian, Mississippi, licensed in Mississippi (906647) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Ochsner Rush Hospital, and maintains a secondary practice location in Ridgeland.

NPPES Registry Identity

NPI1376391268

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMELIA FORTENBERRYCredential: NP

Location Address1314 19TH AVEMeridian, MS 39301-4116

Mailing Address3334 Highway 496Meridian, MS 39301-7120 · (601) 479-4766

Phone(601) 703-9590

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2023

Enumeration DateMay 7, 2024

Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1376391268 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 MS · 906647

1314 19TH AVE, Meridian, MS 39301

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Secondary Practice Location 1

Location 17048 Old Canton Rd Ste 2ERidgeland, MS 39157-1021 · Phone (601) 992-9790

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melia Fortenberry Np 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 ID6507307923

PECOS Enrollment IDI20240925000637

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.

Hospital Affiliations CMS Care Compare 2

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

Ochsner Rush Hospital

Acute Care Hospitals · Meridian, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250069

Location1314 19th AveMeridian, MS 39301 · Lauderdale County

Emergency services Birthing friendly

Ochsner Watkins Hospital

Critical Access Hospitals · Quitman, MS

OwnershipVoluntary non-profit - Private

CMS Certification Number251316

Location605 South Archusa AvenueQuitman, MS 39355 · Clarke County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39301 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

CHARANDLE S JORDAN MD

Hospitalist