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

Melissa A. Mark, CRNP

Individual provider Nurse Practitioner · NPI 1861722621

Melissa A. Mark, CRNP is a Nurse Practitioner in Berkeley, California. Qualified in 2009, 17 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
17
Licensed in
CA, PA
In the registry since
2009
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

2001 Dwight Way Fl 2
Berkeley, CA 94704-2608
Phone: (510) 204-5770
Fax: (510) 204-5749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 21279 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence NP21279 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence SP010669 (PA)

Record details

NPI number1861722621
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedDecember 30, 2009
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address325 Distel Cir, Los Altos, CA 94022-1408

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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