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

Melanie Anne Black, AGNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1750999470

Melanie Anne Black, AGNP-C is a Nurse Practitioner in Bend, Oregon. Qualified in 2020, 6 years ago. Practices with Praxis Health PC, a 176-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Vermont.

Years since qualifying
6
Licensed in
VT
In the registry since
2020

Practice location Address checks out

2165 NW Shevlin Park Rd
Bend, OR 97703-7101
Phone: (541) 389-7741
Show map & directions

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

Additional practice locations (1)

  • 163 Veterans Dr, White River Junction, VT 05009-0001 — (802) 295-9363

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 101.0134595 (VT)

Record details

NPI number1750999470
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJuly 20, 2020
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Praxis Health Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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