MELISSA K KENTER APN
NPI 1295124766
Nurse Practitioner - Family in Charleston, IL

Active since January 21, 2015PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
2040 LINCOLN AVE STE 100, CHARLESTON, IL 61920(217) 345-2030(217) 345-2045 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2024, Nov 5, 2024, Mar 7, 2023 and 7 more (10 updates tracked since 2019).

About Melissa K Kenter Apn NPPES

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

MELISSA K KENTER APN (NPI 1295124766) is an individual family provider in Charleston, Illinois, licensed in Illinois (277000346) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1295124766
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA K KENTERCredential: APN
Location Address2040 LINCOLN AVE STE 100Charleston, IL 61920-3197
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Fax(217) 345-2045
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 21, 2015
Last NPPES UpdateDecember 10, 202410 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1295124766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 277000346
2040 LINCOLN AVE STE 100, Charleston, IL 61920

Other Names 1

Former Name (1)Melissa K Paholke

Secondary Practice Locations 4

Location 11100 Tuscola BlvdTuscola, IL 61953-2065 · Phone (217) 253-4764 · Fax (217) 253-4886
Location 21303 W Evergreen Ave Ste 201Effingham, IL 62401-1638 · Phone (217) 347-1422 · Fax (217) 342-3402
Location 31201 Wooddell Way Ste BMattoon, IL 61938-1014 · Phone (217) 238-3000 · Fax (217) 238-3008
Location 41303 W Evergreen Ave Ste 100Effingham, IL 62401-1638 · Phone (217) 540-6123 · Fax (217) 347-4969

Accepted 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 K Kenter Apn 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 ID7315264652
PECOS Enrollment IDI20150325000329
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 Kenter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group

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 61920 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
2040 LINCOLN AVE STE 100
CHARLESTON, IL 61920
Nurse Practitioner (Family)
2040 LINCOLN AVE STE 100
CHARLESTON, IL 61920
Nurse Practitioner
2040 LINCOLN AVE STE 100
CHARLESTON, IL 61920
Nurse Practitioner (Family)
2040 LINCOLN AVE STE 100
CHARLESTON, IL 61920

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 Kenter's NPI number?

The NPI number for Melissa Kenter is 1295124766. It was assigned to this individual provider in the NPPES registry on January 21, 2015. The provider is also known as Melissa K Paholke.

Where is Melissa Kenter located?

Melissa Kenter practices at 2040 Lincoln Ave Ste 100, Charleston, IL 61920. The listed phone number is (217) 345-2030.

What is Melissa Kenter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melissa Kenter enrolled in Medicare?

Yes. Melissa Kenter 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 organization bills Medicare for Melissa Kenter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Kenter reassigns Medicare benefits to Sarah Bush Lincoln Health Center (Mattoon, IL). The 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 Kenter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Kenter accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Melissa Kenter 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.

When was this NPI record last updated?

The NPPES record for Melissa Kenter was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.