MELANIE LYN HERBERT NP
NPI 1295301273
Nurse Practitioner - Adult Health in Buffalo, NY
About Melanie Lyn Herbert Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELANIE LYN HERBERT NP (NPI 1295301273) is an individual adult health provider in Buffalo, New York, licensed in New York (F310195-01) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Melanie Lyn Herbert Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Melanie Herbert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Amherst, NY 14226
- Reassigned Medicare billing, New York enrollment
- 85 clinicians in this Medicare group
Dunkirk, NY 14048
- Reassigned Medicare billing, New York enrollment
- 572 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sisters Of Charity Hospital
Acute Care Hospitals · Buffalo, NYBertrand Chaffee Hospital
Acute Care Hospitals · Springville, NYBrooks-Tlc Hospital System, Inc
Acute Care Hospitals · Dunkirk, NYUpmc Chautauqua At Wca
Acute Care Hospitals · Jamestown, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WILLIAMSVILLE, NY 14221
WILLIAMSVILLE, NY 14221
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 Herbert's NPI number?
The NPI number for Melanie Herbert is 1295301273. It was assigned to this individual provider in the NPPES registry on June 1, 2021.
Where is Melanie Herbert located?
Melanie Herbert practices at 40 George Karl Blvd, Buffalo, NY 14221. The listed phone number is (716) 250-2000.
What is Melanie Herbert's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Melanie Herbert enrolled in Medicare?
Yes. Melanie Herbert 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 Melanie Herbert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Herbert reassigns Medicare benefits to 2 organizations: Dent Neurologic Group LLP (Amherst, NY) and General Physician, PC (Dunkirk, NY). 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 Melanie Herbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Melanie Herbert affiliated with any hospitals?
According to CMS data, Melanie Herbert is affiliated with Sisters Of Charity Hospital, Bertrand Chaffee Hospital, Brooks-Tlc Hospital System, Inc and Upmc Chautauqua At Wca.
When was this NPI record last updated?
The NPPES record for Melanie Herbert was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Melanie Lyn Herbert, NP · NPI 1295301273
Adult Health physician in Buffalo, New York. Individual provider, active in the CMS NPPES registry since June 1, 2021.
## Identity
- **NPI:** 1295301273 (Entity type: Individual)
- **Enumerated:** June 1, 2021
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F310195-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 40 GEORGE KARL BLVD, Buffalo, NY 14221-7183
- **Phone:** (716) 250-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dent Neurologic Group LLP (NPI 1497850911, Amherst, NY); General Physician, PC (NPI 1093959322, Dunkirk, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1295301273) · Data from the CMS NPPES public registry.