MELANIE M PANCHAL ACNP-BC
NPI 1255571816
Nurse Practitioner - Acute Care in Seattle, WA

Active since February 23, 2009PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
1145 BROADWAY, SEATTLE, WA 98122(206) 860-4500 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melanie M Panchal Acnp-bc NPPES

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

MELANIE M PANCHAL ACNP-BC (NPI 1255571816) is an individual acute care provider in Seattle, Washington, licensed in Washington (AP60145026) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1255571816
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMELANIE M PANCHALCredential: ACNP-BC
Location Address1145 BROADWAYSeattle, WA 98122-4201
Mailing Address11017 Bartlett Ave NeSeattle, WA 98125-5828 · (630) 854-6563
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 23, 2009
Last NPPES UpdateJune 23, 2021
NPPES CertifiedJune 23, 2021
NPI 1255571816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in WA · AP60145026 Licensed in IL · 2009001031
1145 BROADWAY, Seattle, WA 98122

Other Names 1

Former Name (1)Melanie M Morgia

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

Melanie M Panchal Acnp-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 ID6608933023
PECOS Enrollment IDI20100819000240
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
112 services75 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
67 services65 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500152
Location751 NE Blakely DrIssaquah, WA 98029 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98122 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

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.

Urology
1145 BROADWAY
SEATTLE, WA 98122
Pathology (Anatomic Pathology & Clinical Pathology)
1145 BROADWAY
SEATTLE, WA 98122
Family Medicine
1145 BROADWAY
SEATTLE, WA 98122
Hospitalist
1145 BROADWAY
SEATTLE, WA 98122
Nurse Practitioner
1145 BROADWAY
SEATTLE, WA 98122
Internal Medicine
1145 BROADWAY
SEATTLE, WA 98122
Surgery (Surgical Oncology)
1145 BROADWAY
SEATTLE, WA 98122
Surgery
1145 BROADWAY
SEATTLE, WA 98122

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 Melanie Panchal's NPI number?

The NPI number for Melanie Panchal is 1255571816. It was assigned to this individual provider in the NPPES registry on February 23, 2009. The provider is also known as Melanie M Morgia.

Where is Melanie Panchal located?

Melanie Panchal practices at 1145 Broadway, Seattle, WA 98122. The listed phone number is (206) 860-4500.

What is Melanie Panchal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Melanie Panchal enrolled in Medicare?

Yes. Melanie Panchal 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 Melanie Panchal accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Melanie Panchal 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 Melanie Panchal affiliated with any hospitals?

According to CMS data, Melanie Panchal is affiliated with Swedish Medical Center and Swedish Issaquah.

When was this NPI record last updated?

The NPPES record for Melanie Panchal was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.