MELISSA MAINIER
NPI 1043833098
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since May 26, 2020PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
6501 N CHARLES ST, BALTIMORE, MD 21204(410) 938-3000 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melissa Mainier NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA MAINIER (NPI 1043833098) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R221246) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Medstar Franklin Square Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043833098
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMELISSA MAINIER
Location Address6501 N CHARLES STBaltimore, MD 21204-6819
Mailing Address6501 N Charles StBaltimore, MD 21204-6819
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 26, 2020
NPPES CertifiedMay 26, 2020
NPI 1043833098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · R221246
6501 N CHARLES ST, Baltimore, MD 21204

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Melissa Mainier is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032532676
PECOS Enrollment IDI20200715000218
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services11 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
50 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medstar Franklin Square Medical Center

Acute Care Hospitals · Rosedale, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210015
Location9000 Franklin Square DriveRosedale, MD 21237 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
6501 N CHARLES ST
TOWSON, MD 21204
Nurse Practitioner (Psychiatric/Mental Health)
6501 N CHARLES ST
TOWSON, MD 21204
Nurse Practitioner (Psychiatric/Mental Health)
6501 N CHARLES ST
BALTIMORE, MD 21204
Psychiatry & Neurology (Psychiatry)
6501 N CHARLES ST
BALTIMORE, MD 21204
Psychologist (Clinical)
6501 N CHARLES ST
BALTIMORE, MD 21204
Psychologist (Clinical)
6501 N CHARLES ST
TOWSON, MD 21204
Social Worker (Clinical)
6501 N CHARLES ST
BALTIMORE, MD 21204
Psychiatry & Neurology (Psychiatry)
6501 N CHARLES ST
BALTIMORE, MD 21204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Mainier's NPI number?

The NPI number for Melissa Mainier is 1043833098. It was assigned to this individual provider in the NPPES registry on May 26, 2020.

Where is Melissa Mainier located?

Melissa Mainier practices at 6501 N Charles St, Baltimore, MD 21204. The listed phone number is (410) 938-3000.

What is Melissa Mainier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Melissa Mainier enrolled in Medicare?

Yes. Melissa Mainier is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Melissa Mainier accept?

Health plans from Providence Health Plan list Melissa Mainier as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Melissa Mainier affiliated with any hospitals?

According to CMS data, Melissa Mainier is affiliated with Medstar Franklin Square Medical Center.

When was this NPI record last updated?

The NPPES record for Melissa Mainier was last updated on May 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.