MELISSA K ODLE FNP
NPI 1225308406
Nurse Practitioner in Sesser, IL

Active since January 05, 2012PECOS EnrolledAccepts Medicare Assignment
70.27/100
CMS Quality Rating
6294 STATE HIGHWAY 154, SESSER, IL 62884(618) 625-6979(618) 625-6979 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2022, Jul 19, 2022, Nov 30, 2018 (3 updates tracked since 2018).

About Melissa K Odle Fnp NPPES

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

MELISSA K ODLE FNP (NPI 1225308406) is an individual nurse practitioner in Sesser, Illinois, licensed in Illinois (209.017951) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225308406
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELISSA K ODLECredential: FNP
Location Address6294 STATE HIGHWAY 154Sesser, IL 62884-2163
Mailing AddressPo Box 155Christopher, IL 62822-0155 · (618) 724-2436
Fax(618) 625-6979
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 5, 2012
Last NPPES UpdateDecember 29, 20223 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
NPI 1225308406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209.017951
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 ListedRegistered NurseTaxonomy 163W00000X · License 041344692 (IL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209017951 (IL)
6294 STATE HIGHWAY 154, Sesser, IL 62884

Accepted 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 K Odle 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 ID1850630617
PECOS Enrollment IDI20190222001403
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 10

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
224 services104 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.
190 services88 patients
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.
132 services83 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.
69 services19 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
58 services12 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.
44 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL
OwnershipProprietary
CMS Certification Number140294
Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County
Emergency services

Franklin Hospital

Critical Access Hospitals · Benton, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141321
Location201 Bailey LaneBenton, IL 62812 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62884 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

70.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.94
Promoting Interoperability96
Improvement Activities40
Cost31.28

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers26 claims66 services$5.31 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims15 services$1.00 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers29 claims29 services$5.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers55 claims55 services$117.32 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$38.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dentist
6294 STATE HIGHWAY 154
SESSER, IL 62884
Nurse Practitioner (Family)
6294 STATE HIGHWAY 154
SESSER, IL 62884
Licensed Practical Nurse
6294 STATE HIGHWAY 154
SESSER, IL 62884
Dental Hygienist
6294 STATE HIGHWAY 154
SESSER, IL 62884
Registered Nurse
6294 STATE HIGHWAY 154
SESSER, IL 62884
Clinic/Center (Federally Qualified Health Center (FQHC))
6294 STATE HIGHWAY 154
SESSER, IL 62884
Registered Nurse
6294 STATE HIGHWAY 154
SESSER, IL 62884
Physician Assistant (Surgical)
6294 STATE HIGHWAY 154
SESSER, IL 62884

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 Odle's NPI number?

The NPI number for Melissa Odle is 1225308406. It was assigned to this individual provider in the NPPES registry on January 5, 2012.

Where is Melissa Odle located?

Melissa Odle practices at 6294 State Highway 154, Sesser, IL 62884. The listed phone number is (618) 625-6979.

What is Melissa Odle's specialty?

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

Is Melissa Odle enrolled in Medicare?

Yes. Melissa Odle 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.

What insurance does Melissa Odle accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Melissa Odle 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 Odle affiliated with any hospitals?

According to CMS data, Melissa Odle is affiliated with Herrin Hospital, Good Samaritan Regional Hlth Center, Memorial Hospital Of Carbondale, Crossroads Community Hospital and Franklin Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Odle was last updated on December 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.