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

Melissa Fillmore, PMHNP-BC

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1356855142

Melissa Fillmore, PMHNP-BC is a Nurse Practitioner in Santa Monica, California. Qualified in 2018, 8 years ago. Practices with Mark David Levine MD Professional Corporation, a 157-clinician group and accepts Medicare assignment. Licensed in California and Ohio.

Years since qualifying
8
Licensed in
CA, OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

2001 Wilshire Blvd Ste 320
Santa Monica, CA 90403-5683
Phone: (310) 566-2006
Fax: (424) 322-1214
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NP95013755 (CA)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence RN.428291 (OH)

Record details

NPI number1356855142
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedDecember 1, 2017
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mark David Levine Md Professional Corporation — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount