Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jereme Edwin Mellenthin, PA

Individual provider Physician Assistant · NPI 1194993972

Jereme Edwin Mellenthin, PA is a Physician Assistant in Washington, District of Columbia. Qualified in 2002, 24 years ago. Practices with Metlakatla Indian Community, a 19-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
24
Licensed in
NC
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Partly verified

Some contact details are missing from the federal record.

US Dept OF State M/med/qi SA-1
Washington, DC 20522-0001
Phone: (202) 663-2453
Fax: (202) 663-3247
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103637 (NC)

Record details

NPI number1194993972
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 14, 2008
Last updated in NPPESFebruary 14, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Metlakatla Indian Community — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Washington