MELANIE M NELSON PHD
NPI 1114935830
Psychologist - Clinical in Lake City, FL

Active since August 05, 2006PECOS Enrolled
78.18/100
CMS Quality Rating
871 SW STATE ROAD 47, LAKE CITY, FL 32025(386) 438-8615(386) 438-8614 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Melanie M Nelson Phd NPPES

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

MELANIE M NELSON PHD (NPI 1114935830) is an individual clinical provider in Lake City, Florida, licensed in Florida (PY 8562) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114935830
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMELANIE M NELSONCredential: PHD
Location Address871 SW STATE ROAD 47Lake City, FL 32025-0433
Mailing AddressPo Box 606Glen St Mary, FL 32040-0606 · (904) 653-1818 · Fax (904) 653-1814
Fax(386) 438-8614
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateNovember 25, 2014
✔ NPI 1114935830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in FL · PY 8562✔ Licensed in OK · 1027
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
871 SW STATE ROAD 47, Lake City, FL 32025

Other Names 1

Former Name (1)Melanie D Mcdiarmid Phd

Other Identifiers 1

Medicare PINHY549ZFL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melanie M Nelson Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Melanie Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 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 32025 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner
871 SW STATE ROAD 47
LAKE CITY, FL 32025
Counselor (Mental Health)
871 SW STATE ROAD 47
LAKE CITY, FL 32025
Marriage & Family Therapist
871 SW STATE ROAD 47
LAKE CITY, FL 32025
Clinic/Center (Mental Health (Including Community Mental Health Center))
871 SW STATE ROAD 47
LAKE CITY, FL 32025
Speech-Language Pathologist
871 SW STATE ROAD 47
LAKE CITY, FL 32025

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 Melanie Nelson's NPI number?

The NPI number for Melanie Nelson is 1114935830. It was assigned to this individual provider in the NPPES registry on August 5, 2006. The provider is also known as Melanie D Mcdiarmid Phd.

Where is Melanie Nelson located?

Melanie Nelson practices at 871 SW State Road 47, Lake City, FL 32025. The listed phone number is (386) 438-8615.

What is Melanie Nelson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Melanie Nelson enrolled in Medicare?

Yes. Melanie Nelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melanie Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Nelson reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). 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 Melanie Nelson'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 Melanie Nelson was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.