Your active Railroad Medicare PTAN has been located and is shown here :  PROVIDER NAME	MELISSA L RAMSDEN NP PROVIDER PTAN	Q00056547 PROVIDER NPI	1194376228 EFFECTIVE DATE	03/01/2021 END DATE	 GROUP NAME	BAY AREA QUICK CARE PLLC GROUP PTAN	DV9128 BUSINESS STATE	TX EFFECTIVE DATE	04/01/2010 END DATE	  