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STACEY WAYNE MELNICK NP
NPI 1235572744
Nurse Practitioner - Adult Health in Portland, OR

Active since April 15, 2013PECOS Enrolled
1675 SW MARLOW AVE STE 202, PORTLAND, OR 97225(503) 430-1777 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2018, Mar 17, 2016 (2 updates tracked since 2016).

About Stacey Wayne Melnick Np NPPES

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

STACEY WAYNE MELNICK NP (NPI 1235572744) is an individual adult health provider in Portland, Oregon, licensed in Oregon (201350068NP) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235572744
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameSTACEY WAYNE MELNICKCredential: NP
Location Address1675 SW MARLOW AVE STE 202Portland, OR 97225
Mailing Address1675 Sw Marlow Ave Ste 202Portland, OR 97225-5102 · (503) 430-1777
Phone(503) 430-1777
Sole ProprietorNo
Enumeration DateApril 15, 2013
Last NPPES UpdateAugust 24, 20182 updates tracked since enumeration
✔ NPI 1235572744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OR · 201350068NP
1675 SW MARLOW AVE STE 202, Portland, OR 97225
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Wayne Melnick Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$904.14 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 5

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

DR. KIRSTEN MARIE WINN CARR M.D.
Family Medicine
1675 SW MARLOW AVE STE 202
PORTLAND, OR 97225
Washington County (503) 430-1777
KRISTIE LYNN MITCHELL FNP
Nurse Practitioner
1675 SW MARLOW AVE STE 202
PORTLAND, OR 97225
Washington County (503) 430-1777
MARK W CHENG LLC
Physical Medicine & Rehabilitation
1675 SW MARLOW AVE STE 202
PORTLAND, OR 97225
Washington County (503) 430-1777
DR. TOMOAKI HONDA DNP FNP NP-C ARNP
Nurse Practitioner (Family)
1675 SW MARLOW AVE STE 202
PORTLAND, OR 97225
Washington County (503) 430-1777
DR. MARK W CHENG M.D.
Physical Medicine & Rehabilitation
1675 SW MARLOW AVE STE 202
PORTLAND, OR 97225
Washington County (503) 430-1777

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 Stacey Melnick's NPI number?

The NPI number for Stacey Melnick is 1235572744. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Where is Stacey Melnick located?

Stacey Melnick practices at 1675 SW Marlow Ave Ste 202, Portland, OR 97225. The listed phone number is (503) 430-1777.

What is Stacey Melnick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Stacey Melnick enrolled in Medicare?

Yes. Stacey Melnick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Melnick was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.