MELODIE A GAVIN RN
NPI 1053725085
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN

Active since June 18, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
909 E STATE BLVD, FORT WAYNE, IN 46805(260) 481-2700(260) 481-2709 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2022, Sep 6, 2018 (2 updates tracked since 2018).

About Melodie A Gavin Rn NPPES

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

MELODIE A GAVIN RN (NPI 1053725085) is an individual psychiatric/mental health provider in Fort Wayne, Indiana, licensed in Indiana (71008261A) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053725085
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMELODIE A GAVINCredential: RN
Location Address909 E STATE BLVDFort Wayne, IN 46805
Mailing Address909 E State BlvdFort Wayne, IN 46805-3404 · (260) 481-2700 · Fax (260) 481-2709
Fax(260) 481-2709
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 18, 2014
Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
NPI 1053725085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IN · 71008261A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28184959A (IN)
909 E STATE BLVD, Fort Wayne, IN 46805

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

Melodie A Gavin Rn 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 ID3274877030
PECOS Enrollment IDI20181205000290
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

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.
49 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.07
Promoting Interoperability100
Improvement Activities40
Cost91.08

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.

Counselor
909 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Psychiatry & Neurology (Psychiatry)
909 E STATE BLVD
FORT WAYNE, IN 46805
Nurse Practitioner
909 E STATE BLVD
FORT WAYNE, IN 46805
Case Manager/Care Coordinator
909 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Licensed Practical Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805
Registered Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805

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 Melodie Gavin's NPI number?

The NPI number for Melodie Gavin is 1053725085. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Melodie Gavin located?

Melodie Gavin practices at 909 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 481-2700.

What is Melodie Gavin's specialty?

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

Is Melodie Gavin enrolled in Medicare?

Yes. Melodie Gavin 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 Melodie Gavin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Melodie Gavin 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.

When was this NPI record last updated?

The NPPES record for Melodie Gavin was last updated on October 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.