MELISSA MIKOVITCH CRNP
NPI 1073395182
Nurse Practitioner - Family in Forty Fort, PA
About Melissa Mikovitch Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA MIKOVITCH CRNP (NPI 1073395182) is an individual family provider in Forty Fort, Pennsylvania, licensed in Pennsylvania (SP027983) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Melissa Mikovitch Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Melissa Mikovitch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Forty Fort, PA 18704
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORTY FORT, PA 18704
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 Mikovitch's NPI number?
The NPI number for Melissa Mikovitch is 1073395182. It was assigned to this individual provider in the NPPES registry on October 16, 2023.
Where is Melissa Mikovitch located?
Melissa Mikovitch practices at 190 Welles St, Forty Fort, PA 18704. The listed phone number is (570) 718-4140.
What is Melissa Mikovitch's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Melissa Mikovitch enrolled in Medicare?
Yes. Melissa Mikovitch is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Melissa Mikovitch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Mikovitch reassigns Medicare benefits to Geisinger Clinic (Forty Fort, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Mikovitch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Melissa Mikovitch was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Melissa Mikovitch, CRNP · NPI 1073395182
Family physician in Forty Fort, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 16, 2023.
## Identity
- **NPI:** 1073395182 (Entity type: Individual)
- **Enumerated:** October 16, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP027983 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 190 WELLES ST, Forty Fort, PA 18704-4968
- **Phone:** (570) 718-4140
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Geisinger Clinic (NPI 1427291947, Forty Fort, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1073395182) · Data from the CMS NPPES public registry.