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MELISSA MARIA KARANICOLAS CRNP
NPI 1174364772
Nurse Practitioner - Psychiatric/Mental Health in York, PA

Active since June 05, 2024PECOS EnrolledAccepts Medicare Assignment
218 E MARKET ST, YORK, PA 17403(631) 487-4247 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melissa Maria Karanicolas Crnp NPPES

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

MELISSA MARIA KARANICOLAS CRNP (NPI 1174364772) is an individual psychiatric/mental health provider in York, Pennsylvania, licensed in Pennsylvania (SP029836) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174364772
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMELISSA MARIA KARANICOLASCredential: CRNP
Location Address218 E MARKET STYork, PA 17403-2013
Mailing Address218 E Market StYork, PA 17403-2013 · (631) 487-4247
Phone(631) 487-4247
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1174364772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP029836
218 E MARKET ST, York, PA 17403
Open in Google Maps ↗

Other Names 1

Former Name (1)Melissa Maria Meyers

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Maria Karanicolas 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 ID4082158605
PECOS Enrollment IDI20240705003171
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

2

Medicare enrollment records show Melissa Karanicolas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vital Healthcare Solutions
45 mi
Psychiatry
300 WINDMILL RD
Sinking Springs, PA 19608
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 166 clinicians in this Medicare group
NPI 1659736957 (814) 505-7060
Silver Willow Wellness PC
45 mi
Geriatric Medicine
2395 LANCASTER PIKE FL 1
Reading, PA 19607
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 137 clinicians in this Medicare group
NPI 1659164697 (585) 233-2817

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
721 services221 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
479 services166 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.
153 services152 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
149 services44 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.
28 services20 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 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.

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 Karanicolas's NPI number?

The NPI number for Melissa Karanicolas is 1174364772. It was assigned to this individual provider in the NPPES registry on June 5, 2024. The provider is also known as Melissa Maria Meyers.

Where is Melissa Karanicolas located?

Melissa Karanicolas practices at 218 E Market St, York, PA 17403. The listed phone number is (631) 487-4247.

What is Melissa Karanicolas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Melissa Karanicolas enrolled in Medicare?

Yes. Melissa Karanicolas 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 Karanicolas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Karanicolas reassigns Medicare benefits to 2 organizations: Vital Healthcare Solutions (Sinking Springs, PA) and Silver Willow Wellness PC (Reading, PA). 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 Karanicolas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Karanicolas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Melissa Karanicolas 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.

When was this NPI record last updated?

The NPPES record for Melissa Karanicolas was last updated on June 5, 2024. 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.