MELANIE SHOUSE CNP
NPI 1043970692
Nurse Practitioner - Family in Cincinnati, OH

Active since December 22, 2021PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
2139 AUBURN AVE, CINCINNATI, OH 45219(513) 763-0386 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melanie Shouse Cnp NPPES

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

MELANIE SHOUSE CNP (NPI 1043970692) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.0029809) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043970692
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELANIE SHOUSECredential: CNP
Location Address2139 AUBURN AVECincinnati, OH 45219-2989
Mailing Address2139 Auburn AveCincinnati, OH 45219-2989
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 22, 2021
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
NPI 1043970692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.0029809
2139 AUBURN AVE, Cincinnati, OH 45219

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

Melanie Shouse Cnp 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 ID3779978572
PECOS Enrollment IDI20220314001650
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
282 services103 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
61 services56 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.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

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.

Nurse Practitioner (Acute Care)
2139 AUBURN AVE
CINCINNATI, OH 45219
Anesthesiologist Assistant
2139 AUBURN AVE
CINCINNATI, OH 45219
Anesthesiologist Assistant
2139 AUBURN AVE
CINCINNATI, OH 45219
Pharmacist
2139 AUBURN AVE
CINCINNATI, OH 45219
Nurse Anesthetist, Certified Registered
2139 AUBURN AVE
CINCINNATI, OH 45219
Dietitian, Registered
2139 AUBURN AVE
CINCINNATI, OH 45219
Internal Medicine (Cardiovascular Disease)
2139 AUBURN AVE
CINCINNATI, OH 45219
Internal Medicine
2139 AUBURN AVE, ROOM 6166
CINCINNATI, OH 45219

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 Melanie Shouse's NPI number?

The NPI number for Melanie Shouse is 1043970692. It was assigned to this individual provider in the NPPES registry on December 22, 2021.

Where is Melanie Shouse located?

Melanie Shouse practices at 2139 Auburn Ave, Cincinnati, OH 45219. The listed phone number is (513) 763-0386.

What is Melanie Shouse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melanie Shouse enrolled in Medicare?

Yes. Melanie Shouse 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 Melanie Shouse accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Melanie Shouse 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 Melanie Shouse affiliated with any hospitals?

According to CMS data, Melanie Shouse is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Shouse was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.