MELISSA AMBER GUMMO PMHNP-BC
NPI 1225738636
Nurse Practitioner - Psychiatric/Mental Health in Vail, AZ

Active since March 06, 2023PECOS EnrolledAccepts Medicare Assignment
13299 E COLOSSAL CAVE RD, VAIL, AZ 85641(520) 762-5200 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2023, Mar 6, 2023 (2 updates tracked since 2023).

About Melissa Amber Gummo Pmhnp-bc NPPES

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

MELISSA AMBER GUMMO PMHNP-BC (NPI 1225738636) is an individual psychiatric/mental health provider in Vail, Arizona, licensed in Arizona (2023005857) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1225738636
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMELISSA AMBER GUMMOCredential: PMHNP-BC
Location Address13299 E COLOSSAL CAVE RDVail, AZ 85641-9001
Mailing Address13299 E Colossal Cave RdVail, AZ 85641-9001 · (520) 762-5200
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 6, 2023
Last NPPES UpdateApril 11, 20232 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1225738636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · 2023005857
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN176794 (AZ)
13299 E COLOSSAL CAVE RD, Vail, AZ 85641

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 Amber Gummo Pmhnp-bc 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 ID42678690
PECOS Enrollment IDI20230614001827
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 Gummo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
13299 E COLOSSAL CAVE RD
Vail, AZ 85641
  • Reassigned Medicare billing, Arizona enrollment
  • 35 clinicians in this Medicare group
Family Medicine
302 EL CAMINO REAL BLDG 11
Sierra Vista, AZ 85635
  • Reassigned Medicare billing, Arizona enrollment
  • 10 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 85641 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 3

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

Nurse Practitioner (Family)
13299 E COLOSSAL CAVE RD
VAIL, AZ 85641
Nurse Practitioner (Psychiatric/Mental Health)
13299 E COLOSSAL CAVE RD
VAIL, AZ 85641
Clinic/Center (Federally Qualified Health Center (FQHC))
13299 E COLOSSAL CAVE RD
VAIL, AZ 85641

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 Gummo's NPI number?

The NPI number for Melissa Gummo is 1225738636. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Melissa Gummo located?

Melissa Gummo practices at 13299 E Colossal Cave Rd, Vail, AZ 85641. The listed phone number is (520) 762-5200.

What is Melissa Gummo's specialty?

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

Is Melissa Gummo enrolled in Medicare?

Yes. Melissa Gummo 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 Gummo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Gummo reassigns Medicare benefits to 2 organizations: United Community Health Center - Maria Auxiliadora, Inc. (Vail, AZ) and Jeffrey Wilde MD PLLC (Sierra Vista, AZ). 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 Gummo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Gummo accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Melissa Gummo 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 Gummo was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.