Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MELISSA BALDWIN CRNP
NPI 1114467347
Nurse Practitioner in Lewistown, PA

Active since March 07, 2017PECOS EnrolledAccepts Medicare Assignment
400 HIGHLAND AVE, LEWISTOWN, PA 17044(717) 242-7480(717) 242-7479 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 28, 2026, May 6, 2026, Apr 3, 2026 and 1 more (4 updates tracked since 2025).

About Melissa Baldwin Crnp NPPES

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

MELISSA BALDWIN CRNP (NPI 1114467347) is an individual nurse practitioner in Lewistown, Pennsylvania, licensed in Pennsylvania (SP017291) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1114467347
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELISSA BALDWINCredential: CRNP
Location Address400 HIGHLAND AVELewistown, PA 17044-1167
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (717) 242-7480 · Fax (717) 242-7479
Fax(717) 242-7479
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 7, 2017
Last NPPES UpdateSeptember 28, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1114467347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in PA · SP017291✔ Licensed in MA · RN2377445
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 116288-23 (NH), SP017291 (PA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License SP017291 (PA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License SP017291 (PA)
400 HIGHLAND AVE, Lewistown, PA 17044

Secondary Practice Locations 4

Location 1775 Norman DrLebanon, PA 17042-7497 · Phone (717) 272-8173 · Fax (717) 272-4029
Location 2246 Pleasant StConcord, NH 03301-2548 · Phone (603) 224-9661 · Fax (603) 227-7528
Location 355 Lake Ave NWorcester, MA 01655-0002 · Phone (774) 443-7552
Location 4119 Belmont StWorcester, MA 01605-2903 · Phone (774) 443-7552

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Baldwin Crnp 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 ID1951679240
PECOS Enrollment IDI20170608002538, I20230421000946, I20250113002192, I20251226000247
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Melissa Baldwin reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
155 WELLNESS WAY
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 393 clinicians in this Medicare group
Family Medicine
300 BRETZ CT, SUITE 100
Newport, PA 17074
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
Family Medicine
412 W MARKET ST
Middleburg, PA 17842
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
Internal Medicine
2314 SASSAFRAS ST, 2ND FLOOR - ADMIN OFFICE
Erie, PA 16502
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 483 clinicians in this Medicare group
Critical Care Medicine
70 DUBOIS ST FL 2
Newburgh, NY 12550
  • Reassigned Medicare billing, New York enrollment
  • 110 clinicians in this Medicare group
Cardiovascular Disease
8580 MAGELLAN PKWY
Richmond, VA 23227
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
Urgent Care
78 SUTTON AVE
Oxford, MA 01540
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
Emergency Medicine
250 PLEASANT ST
Concord, NH 03301
  • Reassigned Medicare billing, New Hampshire enrollment
  • 636 clinicians in this Medicare group
Family Medicine
170 GOVERNORS AVE, ATTN: PROVIDER ENROLLMENT
Medford, MA 02155
  • Reassigned Medicare billing, Massachusetts enrollment
  • 246 clinicians in this Medicare group
General Acute Care Hospital
15 HOSPITAL DR
York, ME 03909
  • Reassigned Medicare billing, Maine enrollment
  • 347 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.

Hospital Affiliations CMS Care Compare 4

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Concord Hospital

Acute Care Hospitals · Concord, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300001
Location250 Pleasant StConcord, NH 03301 · Merrimack County
Birthing friendly

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17044 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Dietitian, Registered
400 HIGHLAND AVE
LEWISTOWN, PA 17044
Physician Assistant
400 HIGHLAND AVE
LEWISTOWN, PA 17044
Radiology (Diagnostic Ultrasound)
400 HIGHLAND AVE
LEWISTOWN, PA 17044
Emergency Medicine
400 HIGHLAND AVE
LEWISTOWN, PA 17044
Home Health
400 HIGHLAND AVE
LEWISTOWN, PA 17044
Emergency Medicine
400 HIGHLAND AVE
LEWISTOWN, PA 17044
Pharmacist
400 HIGHLAND AVE
LEWISTOWN, PA 17044
Family Medicine
400 HIGHLAND AVE
LEWISTOWN, PA 17044

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 Baldwin's NPI number?

The NPI number for Melissa Baldwin is 1114467347. It was assigned to this individual provider in the NPPES registry on March 7, 2017.

Where is Melissa Baldwin located?

Melissa Baldwin practices at 400 Highland Ave, Lewistown, PA 17044. The listed phone number is (717) 242-7480.

What is Melissa Baldwin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melissa Baldwin enrolled in Medicare?

Yes. Melissa Baldwin 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.

Which organizations bill Medicare for Melissa Baldwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Baldwin reassigns Medicare benefits to 10 organizations: Mount Nittany Medical Center Health Services Inc (State College, PA), Pinnacle Health Medical Services (Newport, PA), Wellspan Medical Group (Middleburg, PA), St Vincent Medical Education And Research Institute Inc (Erie, PA), Critical Care Physician Of New York PC (Newburgh, NY) and 5 more organizations, listed in the Medicare section above. Each 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 Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Baldwin accept?

Health plans from Ambetter from NH Healthy Families, Taro Health and WellSense Health Plan list Melissa Baldwin 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 Baldwin affiliated with any hospitals?

According to CMS data, Melissa Baldwin is affiliated with Umass Memorial Medical Center/University Campus, Concord Hospital, Wellspan Good Samaritan Hospital and Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Melissa Baldwin was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.