MELISSA M KESTLER DNP, FNP-BC
NPI 1255988770
Nurse Practitioner in Seaford, DE

Q: What is Melissa Kestler's NPI number?

The NPI number for Melissa Kestler is 1255988770. It was assigned to this individual provider in the NPPES registry on August 20, 2019. The provider is also known as Melissa M Gaard.

Q: What is Melissa Kestler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Kestler was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since August 20, 2019PECOS EnrolledAccepts Medicare Assignment

220 PENNSYLVANIA AVE, SEAFORD, DE 19973(410) 391-6131 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 18, 2025, Sep 18, 2019, Sep 9, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Melissa M Kestler Dnp, Fnp-bc NPPES

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

MELISSA M KESTLER DNP, FNP-BC (NPI 1255988770) is an individual nurse practitioner in Seaford, Delaware, licensed in Delaware (LG-0001317) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255988770

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMELISSA M KESTLERCredential: DNP, FNP-BC

Location Address220 PENNSYLVANIA AVESeaford, DE 19973-3820

Mailing Address10200 Grand Central Ave Ste 220Owings Mills, MD 21117-4366 · (434) 715-7834

Phone(410) 391-6131

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 20, 2019

Last NPPES UpdateJune 30, 20264 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1255988770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in DE · LG-0001317✔ Licensed in MD · AC004126✔ Licensed in IN · 71018106A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License L1-0053677 (DE)

220 PENNSYLVANIA AVE, Seaford, DE 19973

Open in Google Maps ↗

Other Names 1

Former Name (1)Melissa M Gaard

Secondary Practice Locations 2

Location 11111 Mount Hermon RdSalisbury, MD 21804-5109 · Phone (410) 546-2113

Location 211123 Parkview Plaza Dr Ste 102Fort Wayne, IN 46845-1707 · Phone (260) 425-5240 · Fax (260) 425-5245

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 M Kestler Dnp, Fnp-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 ID547591299

PECOS Enrollment IDI20191010000079, I20221004000257

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

Medicare enrollment records show Melissa Kestler reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tidalhealth Physician Network, Inc.

0.7 mi

Family Medicine

801 MIDDLEFORD RD
Seaford, DE 19973

Reassigned Medicare billing, Delaware enrollment
179 clinicians in this Medicare group

NPI 1467534636 (302) 629-5217

Chesapeake Urology Associates, LLC

1.1 mi

Urology

1340 MIDDLEFORD RD STE 402
Seaford, DE 19973

Reassigned Medicare billing, Delaware and Maryland enrollments
Also billed through NPI 1548085137 (Maryland)
8 clinicians in this Medicare group

NPI 1043719123 (302) 628-4222

Tidalhealth Primary Care, LLC

19 mi

Family Medicine

100 E CARROLL ST
Salisbury, MD 21801

Reassigned Medicare billing, Delaware enrollment
19 clinicians in this Medicare group

NPI 1104453208 (410) 546-6400

Parkview Health System, Inc.

533 mi

Rheumatology

3816 NEW VISION DR
Fort Wayne, IN 46845

Reassigned Medicare billing, Indiana enrollment
1,752 clinicians in this Medicare group

NPI 1912233867 (260) 266-8210

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

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.

Bcg live intravesical instillation, 1 mg J9030

BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.

1,550 services19 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

852 services568 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

566 services420 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

501 services328 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

233 services233 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

198 services75 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

184 services159 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

118 services23 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

103 services21 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

83 services46 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

63 services60 patients

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.

61 services40 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.

60 services58 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

41 services16 patients

Instillation of anti-cancer drug into bladder 51720

This procedure involves introducing a medication into the bladder to help fight off harmful cells. A small tube is gently placed into the area where urine exits the body. Through this tube, the medication is delivered directly into the bladder for maximum effectiveness.

33 services20 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.

27 services27 patients

Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month 99427

Principal Care Management (PCM) services focus on managing a single high-risk disease. It involves additional 30 minutes of clinical staff time per month, overseen by a healthcare professional. This includes monitoring your health, coordinating care, and developing a personalized treatment plan.

25 services12 patients

Simple change of bladder tube 51705

A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.

24 services11 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

20 services20 patients

Other procedure on male genital system 55899

This procedure refers to a variety of medical interventions on the male reproductive system. It could be diagnostic, therapeutic, or preventive. It's done to maintain or improve reproductive health. It's always performed by a skilled medical professional.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210019

Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County

Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210061

Location9733 Healthway DriveBerlin, MD 21811 · Worcester County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19973 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

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

Established Patient

$100.68 typical visit price

range $18.36 – $141.05

Typical copayment $25.17 (range $4.59 – $35.26)

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.

DR. JOSE L BARRIOCANAL M.D.

Urology

220 PENNSYLVANIA AVE
SEAFORD, DE 19973

Sussex County (302) 629-4528

JOSE L BARRIOCANAL, MD PA

Urology

220 PENNSYLVANIA AVE
SEAFORD, DE 19973

Sussex County (302) 629-4528

MS. LINDA ANNE BARRIOCANAL A.R.N.P.

Nurse Practitioner (Family)

220 PENNSYLVANIA AVE
SEAFORD, DE 19973

Sussex County (302) 629-4528

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 Kestler's NPI number?

The NPI number for Melissa Kestler is 1255988770. It was assigned to this individual provider in the NPPES registry on August 20, 2019. The provider is also known as Melissa M Gaard.

Where is Melissa Kestler located?

Melissa Kestler practices at 220 Pennsylvania Ave, Seaford, DE 19973. The listed phone number is (410) 391-6131.

What is Melissa Kestler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melissa Kestler enrolled in Medicare?

Yes. Melissa Kestler 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 Kestler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Kestler reassigns Medicare benefits to 4 organizations: Tidalhealth Physician Network, Inc. (Seaford, DE), Chesapeake Urology Associates, LLC (Seaford, DE), Tidalhealth Primary Care, LLC (Salisbury, MD) and Parkview Health System, Inc. (Fort Wayne, IN). 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 Kestler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Kestler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 2 other insurers list Melissa Kestler 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 Melissa Kestler affiliated with any hospitals?

According to CMS data, Melissa Kestler is affiliated with Tidalhealth Peninsula Regional, Inc and Atlantic General Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Kestler was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.