Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861722621 Individual Practitioner Female Practitioner

Melissa A. Mark , CRNP

Nurse Practitioner - Acute Care • Berkeley, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Melissa Mark, CRNP is a certified Nurse Practitioner - Acute Care practicing in Berkeley, CA. With approximately 17 years of clinical experience since completing medical education in 2009, Melissa Mark delivers high-quality medical care to the local community at 2001 DWIGHT WAY FL 2.

Melissa Mark is affiliated with Sutter Bay Medical Foundation and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2001 Dwight Way Fl 2

Berkeley, CA 947042608

Telephone 5102045770
Fax 5102045749
Associated Practice Facility / Clinic
🏢 Jeffrey L. Stern, M.d., Apc Facility NPI 1760595953

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Acute Care in Berkeley, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs Matches City Avg
City Avg: 17.0 Yrs
State Avg: 8.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Berkeley, CA (1828 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mark (17 Years) 17 Yrs
Berkeley Specialty Average (17.0 Years) 17.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-10-28
Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

State License CA 21279

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License CA NP21279

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License PA SP010669

Definition to come...

Hospital & Practice Group Affiliations

Sutter Bay Medical Foundation

3200 Kearney St, Fremont, CA 945382299

Phone: 5104901222

Sutter Bay Medical Foundation

2001 Dwight Way, Berkeley, CA 947042608

Phone: 5102041591

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Maria Reyes , MD

Obstetrics & Gynecology

NPI 1629501424

Doctor of Medicine (M.D.)

Stephanie Sullivan , MSN, NP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1730121864

Master of Science in Nursing, Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2024

Nurse Practitioner (License #NP21279 in CA)

📍
Updated Practice Location October 03, 2024

Registered at 2001 DWIGHT WAY FL 2, BERKELEY, CA 947042608 (Tel: 5102045770)

📍
Updated Business Mailing Address October 03, 2024

Registered at 325 DISTEL CIR, LOS ALTOS, CA 940221408 (Tel: 5102041591)

👤
Provider Name / Credentials Updated October 03, 2024

Recorded as MELISSA MARK, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2024

Nurse Practitioner (License #SP010669 in PA)

NPI Profile Active October 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2011

Registered at 1600 DIVISADERO ST, SAN FRANCISCO, CA 941153010 (Tel: 4153537075)

📍
Updated Business Mailing Address October 18, 2011

Registered at 1600 DIVISADERO ST # 1712, SAN FRANCISCO, CA 941153010

👤
Provider Name / Credentials Updated October 18, 2011

Recorded as MELISSA VALDELLON, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2011

Nurse Practitioner (License #21279 in CA)

🟢
Initial NPI Registration & Enumeration December 30, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861722621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2009
Last Update: October 28, 2024
Sole Proprietor: No

Mailing Address

325 Distel Cir

Los Altos, CA 940221408

Phone: 5102041591

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.