STACEY WAYNE MELNICK NP
NPI 1235572744
Nurse Practitioner - Adult Health in Portland, OR
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 and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Stacey Wayne Melnick Np 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.
Medicare Billing Reassignments
4Medicare enrollment records show Stacey Melnick reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Beaverton, OR 97008
- Reassigned Medicare billing, Oregon enrollment
- 84 clinicians in this Medicare group
Portland, OR 97220
- Reassigned Medicare billing, Oregon enrollment
- 48 clinicians in this Medicare group
Lanham, MD 20706
- Reassigned Medicare billing, Oregon enrollment
- 43 clinicians in this Medicare group
Cambridge, MA 02139
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: East Harbor Partners PC
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 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.
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.
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.
PORTLAND, OR 97225
PORTLAND, OR 97225
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Stacey Melnick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Melnick reassigns Medicare benefits to 4 organizations: Crm Physicians, LLC (Beaverton, OR), Altea Medical Oregon LLC (Portland, OR), Post Acute Medical PLLC (Lanham, MD) and East Harbor Partners, P.C. (Cambridge, MA). 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 Stacey Melnick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 8 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.
# Stacey Wayne Melnick, NP · NPI 1235572744
Adult Health physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 15, 2013.
## Identity
- **NPI:** 1235572744 (Entity type: Individual)
- **Enumerated:** April 15, 2013
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 201350068NP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1675 SW MARLOW AVE STE 202, Portland, OR 97225
- **Phone:** (503) 430-1777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Crm Physicians, LLC (NPI 1952674996, Beaverton, OR); Altea Medical Oregon LLC (NPI 1184451254, Portland, OR); Post Acute Medical PLLC (NPI 1730713025, Lanham, MD); East Harbor Partners, P.C. (NPI 1720879844, Cambridge, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 24, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1235572744) · Data from the CMS NPPES public registry.