MELISSA SCHMIDT FNP
NPI 1144992934
Nurse Practitioner - Family in Utica, NY

Active since September 30, 2021PECOS EnrolledAccepts Medicare Assignment
78.7/100
CMS Quality Rating
1676 SUNSET AVE, UTICA, NY 13502(315) 624-5252 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Schmidt Fnp NPPES

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

MELISSA SCHMIDT FNP (NPI 1144992934) is an individual family provider in Utica, New York, licensed in New York (348515) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144992934
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA SCHMIDTCredential: FNP
Location Address1676 SUNSET AVEUtica, NY 13502-5416
Mailing Address2209 Genesee StUtica, NY 13501-5999 · (315) 801-4238 · Fax (315) 801-8391
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 30, 2021
NPPES CertifiedSeptember 30, 2021
NPI 1144992934 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 NY · 348515
1676 SUNSET AVE, Utica, NY 13502

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 Schmidt Fnp 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 ID4183019201
PECOS Enrollment IDI20220328000218
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 11

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
164 services127 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
79 services76 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services63 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services26 patients

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

78.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.73
Promoting Interoperability99
Improvement Activities40
Cost42.38

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.

Social Worker
1676 SUNSET AVE
UTICA, NY 13502
Anesthesiology
1676 SUNSET AVE
UTICA, NY 13502
Physician Assistant
1676 SUNSET AVE
UTICA, NY 13502
Physical Therapist
1676 SUNSET AVE
UTICA, NY 13502
Anesthesiology
1676 SUNSET AVE
UTICA, NY 13502
Physical Therapist
1676 SUNSET AVE
UTICA, NY 13502
Nurse Anesthetist, Certified Registered
1676 SUNSET AVE
UTICA, NY 13502
Surgery (Vascular Surgery)
1676 SUNSET AVE, 4TH FLOOR
UTICA, NY 13502

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 Schmidt's NPI number?

The NPI number for Melissa Schmidt is 1144992934. It was assigned to this individual provider in the NPPES registry on September 30, 2021.

Where is Melissa Schmidt located?

Melissa Schmidt practices at 1676 Sunset Ave, Utica, NY 13502. The listed phone number is (315) 624-5252.

What is Melissa Schmidt's specialty?

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

Is Melissa Schmidt enrolled in Medicare?

Yes. Melissa Schmidt 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.

Is Melissa Schmidt affiliated with any hospitals?

According to CMS data, Melissa Schmidt is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Schmidt was last updated on September 30, 2021. 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.