MELISSA JO MAVIS ARNP
NPI 1275353336
Nurse Practitioner - Acute Care in Ashland, KY

Q: What is Melissa Mavis's NPI number?

The NPI number for Melissa Mavis is 1275353336. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Q: What is Melissa Mavis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Mavis was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 14, 2024PECOS Enrolled

617 23RD ST STE 400, ASHLAND, KY 41101(606) 408-5864(606) 408-6499 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Melissa Jo Mavis Arnp NPPES

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

MELISSA JO MAVIS ARNP (NPI 1275353336) is an individual acute care provider in Ashland, Kentucky, licensed in Kentucky (4027273) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1275353336

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMELISSA JO MAVISCredential: ARNP

Location Address617 23RD ST STE 400Ashland, KY 41101-2880

Mailing Address2201 Lexington AveAshland, KY 41101-2843 · (606) 408-4000

Phone(606) 408-5864

Fax(606) 408-6499

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 14, 2024

Last NPPES UpdateMarch 31, 2026

NPPES CertifiedMarch 31, 2026

✔ NPI 1275353336 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

License✔ Licensed in KY · 4027273

617 23RD ST STE 400, Ashland, KY 41101

Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Jo Mavis Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779058235

PECOS Enrollment IDI20260413001085

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 Reassignment

Medicare enrollment records show Melissa Mavis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

King's Daughters Medical Specialties, Inc.

Same address

Obstetrics & Gynecology

617 23RD ST STE 415
Ashland, KY 41101

Reassigned Medicare billing, Kentucky enrollment
Medicare enrollment name: Kings Daughters Medical Specialties Inc
531 clinicians in this Medicare group

NPI 1174287270 (606) 325-6888

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 41101 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 11

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

TANYA CATHERINE WARWICK M.D.

Psychiatry & Neurology (Vascular Neurology)