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DENA M PELLETIER CNP
NPI 1265482459
Nurse Practitioner in Minster, OH

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
84.78/100
CMS Quality Rating
11531 STATE ROUTE 66, MINSTER, OH 45865(937) 295-2949(419) 628-0342 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dena M Pelletier Cnp NPPES

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

DENA M PELLETIER CNP (NPI 1265482459) is an individual nurse practitioner in Minster, Ohio, licensed in Ohio (NP-00172) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (1998).

NPPES Registry Identity

NPI1265482459
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDENA M PELLETIERCredential: CNP
Location Address11531 STATE ROUTE 66Minster, OH 45865-9303
Mailing Address915 West Michigan StSidney, OH 45365-2401 · (937) 295-2949 · Fax (419) 628-0342
Phone(937) 295-2949
Fax(419) 628-0342
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1998
Enumeration DateMay 11, 2006
Last NPPES UpdateDecember 7, 2020
NPPES CertifiedDecember 7, 2020
✔ NPI 1265482459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · NP-00172
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.
11531 STATE ROUTE 66, Minster, OH 45865
Open in Google Maps ↗

Other Identifiers 1

Medicaid2090535OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dena M Pelletier Cnp 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 ID7113933359
PECOS Enrollment IDI20060227000151
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 10

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.

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.
368 services196 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.
235 services113 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.
35 services30 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
23 services20 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
20 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45865 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.09
Promoting Interoperability100
Improvement Activities40
Cost74.18

Other Providers at the Same Location NPPES 2

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

MICHAEL T BALLAS MD
Family Medicine
11531 STATE ROUTE 66
MINSTER, OH 45865
Auglaize County (937) 295-2949
DR. KAREN A BALLAS M.D.
Family Medicine
11531 STATE ROUTE 66
MINSTER, OH 45865
Auglaize County (937) 295-2949

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 Dena Pelletier's NPI number?

The NPI number for Dena Pelletier is 1265482459. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Dena Pelletier located?

Dena Pelletier practices at 11531 State Route 66, Minster, OH 45865. The listed phone number is (937) 295-2949.

What is Dena Pelletier's specialty?

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

Is Dena Pelletier enrolled in Medicare?

Yes. Dena Pelletier 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 Dena Pelletier accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Dena Pelletier 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 Dena Pelletier affiliated with any hospitals?

According to CMS data, Dena Pelletier is affiliated with Wilson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Dena Pelletier was last updated on December 7, 2020. 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.