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.

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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 Not confirmed with CMS for 18 years — call before visiting
Phone: (202) 663-2453
Fax: (202) 663-3247
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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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients17
Services billed 20 a service is one billed item, such as a visit, a test or a procedure
Average patient age66

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Metlakatla Indian Community

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 19 clinicians in the practice; 10 are shown here.

Other providers in Washington