MS. DONNA DE MELIA APN,C
NPI 1942417803
Nurse Practitioner - Adult Health in Hammonton, NJ
About Ms. Donna De Melia Apn,c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. DONNA DE MELIA APN,C (NPI 1942417803) is an individual adult health provider in Hammonton, New Jersey, licensed in New Jersey (26NJ00053000) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Ms. Donna De Melia Apn,c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Donna De Melia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marlton, NJ 08053
- Reassigned Medicare billing, New Jersey enrollment
- 909 clinicians in this Medicare group
Lynchburg, VA 24504
- Reassigned Medicare billing, New Jersey enrollment
- 138 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Donna De Melia's NPI number?
The NPI number for Donna De Melia is 1942417803. It was assigned to this individual provider in the NPPES registry on May 17, 2007.
Where is Donna De Melia located?
Donna De Melia practices at 111 Vine St, Hammonton, NJ 08037. The listed phone number is (609) 561-2518.
What is Donna De Melia's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Donna De Melia enrolled in Medicare?
Yes. Donna De Melia 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 Donna De Melia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna De Melia reassigns Medicare benefits to 2 organizations: Advocare, LLC (Marlton, NJ) and Thrive Counseling LLC (Lynchburg, VA). 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 Donna De Melia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donna De Melia accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Donna De Melia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Donna De Melia was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ms. Donna De Melia, APN,C · NPI 1942417803
Adult Health physician in Hammonton, New Jersey. Individual provider, active in the CMS NPPES registry since May 17, 2007.
## Identity
- **NPI:** 1942417803 (Entity type: Individual)
- **Enumerated:** May 17, 2007
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 26NJ00053000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 VINE ST, Hammonton, NJ 08037-1447
- **Phone:** (609) 561-2518 · **Fax:** (609) 567-0934
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Advocare, LLC (NPI 1770538696, Marlton, NJ); Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** January 21, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1942417803) · Data from the CMS NPPES public registry.