MELANIE MARIE RIVERS FNP-C
NPI 1235994757
Nurse Practitioner - Family in Hiawassee, GA

NPI Status: Active since February 14, 2024

Contact Information

103 CHURCH ST
HIAWASSEE, GA
ZIP 30546
Phone: (706) 896-5858
Fax: (706) 896-5959

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Nurse Practitioner
Family
Accepts Insurance
PECOS Enrolled

About MELANIE RIVERS

This page provides the complete NPI Profile along with additional information for Melanie Rivers, a provider established in Hiawassee, Georgia with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1235994757 assigned on February 2024. The practitioner's primary taxonomy code is 363LF0000X with license number RN234827 (GA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1235994757
Provider Name: MELANIE MARIE RIVERS FNP-C
Gender: Female
Entity Type: Individual
Location Address: 103 CHURCH ST HIAWASSEE, GA 30546
Location Phone: (706) 896-5858
Location Fax: (706) 896-5959
Mailing Address: 110 S MAIN ST HIAWASSEE, GA 30546
Mailing Phone: (706) 896-5858
Is Sole Proprietor?: No
Enumeration Date: 02-14-2024
Last Update Date: 08-07-2024
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A nurse practitioner (NP) like Melanie Rivers is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner Family
Taxonomy Code: 363LF0000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: RN234827
License State: GA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Alliant Health Plans, Inc.

SoloCare Bronze EPO HDHP 8050 10004 - EPO
SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
SoloCare Standard Exp Bronze EPO 10008 - EPO
SoloCare Standard Gold EPO 10006 - EPO
SoloCare Standard Platinum EPO 10005 - EPO
SoloCare Standard Silver EPO 10007 - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Melanie Rivers is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30546 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $83.23
Minimum New Patient Price $53.31
Maximum New Patient Price $164.04

Average New Patient Copayment $20.8
Minimum New Patient Copayment $13.32
Maximum New Patient Copayment $41.01

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $94.84
Minimum Established Patient Price $16.68
Maximum Established Patient Price $133.24

Average Established Patient Copayment $23.71
Minimum Established Patient Copayment $4.17
Maximum Established Patient Copayment $33.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	3	5	9	9	4	7	5	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	6	5	18	9	8	7	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 8 + 9 + 8 + 7 + 1 + 0 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 7									7

The NPI number 1235994757 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.