Healthcare Provider Details

I. General information

NPI: 1225355738
Provider Name (Legal Business Name): MELISSA O SCHELLENBERGER PA, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2010
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MIRANOVA PL STE 500
COLUMBUS OH
43215-7052
US

IV. Provider business mailing address

2 MIRANOVA PL STE 500
COLUMBUS OH
43215-7052
US

V. Phone/Fax

Practice location:
  • Phone: 614-321-9743
  • Fax: 614-926-0845
Mailing address:
  • Phone: 614-321-9743
  • Fax: 614-926-0845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3006957
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71003180A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number3006957
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: