MELISSA NELL GINGERICH
NPI 1073262903
Nurse Practitioner - Primary Care in Claremore, OK

Active since March 18, 2022PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1501 N FLORENCE AVE, CLAREMORE, OK 74017(918) 579-3627 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Nell Gingerich NPPES

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

MELISSA NELL GINGERICH (NPI 1073262903) is an individual primary care provider in Claremore, Oklahoma, licensed in Oklahoma (109502) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073262903
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMELISSA NELL GINGERICH
Location Address1501 N FLORENCE AVEClaremore, OK 74017-3179
Mailing Address3205 Callaway DrClaremore, OK 74019-4824 · (918) 559-9747
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
NPI 1073262903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in OK · 109502
1501 N FLORENCE AVE, Claremore, OK 74017

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 Nell Gingerich 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 ID2466837570
PECOS Enrollment IDI20220909001395
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.

X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
20 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Hillcrest Hospital Pryor

Acute Care Hospitals · Pryor, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370015
Location111 North Bailey StreetPryor, OK 74361 · Mayes County
Emergency services

Hillcrest Hospital Claremore

Acute Care Hospitals · Claremore, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370039
Location1202 N Muskogee PlaceClaremore, OK 74017 · Rogers County
Emergency services Birthing friendly

Bailey Medical Center, LLC

Acute Care Hospitals · Owasso, OK
OwnershipProprietary
CMS Certification Number370228
Location10502 North 110th East AvenueOwasso, OK 74055 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74017 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Specialist/Technologist, Other (Surgical Technologist)
1501 N FLORENCE AVE, SUITE #350
CLAREMORE, OK 74017
Orthopaedic Surgery
1501 N FLORENCE AVE, SUITE 350
CLAREMORE, OK 74017
Family Medicine
1501 N FLORENCE AVE, STE. 101
CLAREMORE, OK 74017
Family Medicine
1501 N FLORENCE AVE, STE 101
CLAREMORE, OK 74017
Physician Assistant (Surgical)
1501 N FLORENCE AVE, STE 350
CLAREMORE, OK 74017
Family Medicine (Sports Medicine)
1501 N FLORENCE AVE, 300
CLAREMORE, OK 74017
Massage Therapist
1501 N FLORENCE AVE
CLAREMORE, OK 74017
Internal Medicine (Cardiovascular Disease)
1501 N FLORENCE AVE, SUITE 201
CLAREMORE, OK 74017

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 Gingerich's NPI number?

The NPI number for Melissa Gingerich is 1073262903. It was assigned to this individual provider in the NPPES registry on March 18, 2022.

Where is Melissa Gingerich located?

Melissa Gingerich practices at 1501 N Florence Ave, Claremore, OK 74017. The listed phone number is (918) 579-3627.

What is Melissa Gingerich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Melissa Gingerich enrolled in Medicare?

Yes. Melissa Gingerich 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 Gingerich accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Melissa Gingerich 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 Gingerich affiliated with any hospitals?

According to CMS data, Melissa Gingerich is affiliated with Hillcrest Medical Center, Hillcrest Hospital Pryor, Hillcrest Hospital Claremore and Bailey Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Melissa Gingerich was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.