MELISSA MARSHALL NP-C
NPI 1093480576
Nurse Practitioner - Family in Crown Point, IN

Q: What is Melissa Marshall's NPI number?

The NPI number for Melissa Marshall is 1093480576. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Q: What is Melissa Marshall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Marshall was last updated on February 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 16, 2021PECOS EnrolledAccepts Medicare Assignment

8.2/100

CMS Quality Rating

2100 N MAIN ST # 304, CROWN POINT, IN 46307(574) 546-1900(574) 546-1999 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2025, Aug 16, 2021 (2 updates tracked since 2021).

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About Melissa Marshall Np-c NPPES

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

MELISSA MARSHALL NP-C (NPI 1093480576) is an individual family provider in Crown Point, Indiana, licensed in Indiana (71011368A) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Wayne, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093480576

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELISSA MARSHALLCredential: NP-C

Location Address2100 N MAIN ST # 304Crown Point, IN 46307-1877

Mailing Address6326 Constitution DrFort Wayne, IN 46804-1518 · (765) 669-0602 · Fax (888) 803-6843

Phone(574) 546-1900

Fax(574) 546-1999

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 16, 2021

Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2025

✔ NPI 1093480576 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 IN · 71011368A

2100 N MAIN ST # 304, Crown Point, IN 46307

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Secondary Practice Location 1

Location 16326 Constitution DrFort Wayne, IN 46804-1518 · Phone (260) 515-3275 · Fax (888) 803-6843

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Marshall Np-c 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 ID3870999857

PECOS Enrollment IDI20210831002772

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 7

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

631 services143 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

378 services130 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

42 services14 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

39 services39 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

31 services14 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

19 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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.

8.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Promoting Interoperability

Improvement Activities

Cost

27.33

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier28 claims28 services$23.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MS. YVETTE MONIQUE CAVINESS-KELLEY FNP-BC

Nurse Practitioner (Family)