MELANIE ANN CAUSTRITA ACNP-BC
NPI 1316219397
Nurse Practitioner in Bryan, OH

Active since February 06, 2012PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
433 W HIGH ST, BRYAN, OH 43506(419) 630-2028(419) 630-2029 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2025, Oct 12, 2024, Oct 24, 2023 and 4 more (7 updates tracked since 2019).

About Melanie Ann Caustrita Acnp-bc NPPES

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

MELANIE ANN CAUSTRITA ACNP-BC (NPI 1316219397) is an individual nurse practitioner in Bryan, Ohio, licensed in Ohio (APRN.CNP.13124) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316219397
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELANIE ANN CAUSTRITACredential: ACNP-BC
Location Address433 W HIGH STBryan, OH 43506-1690
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(419) 630-2029
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 6, 2012
Last NPPES UpdateMay 2, 20257 updates tracked since enumeration
NPPES CertifiedMay 2, 2025
✔ NPI 1316219397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in OH · APRN.CNP.13124✔ Licensed in SC · 18736
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.
433 W HIGH ST, Bryan, OH 43506

Other Identifiers 1

Medicaid0065971OH

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

Melanie Ann Caustrita Acnp-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 ID840453379
PECOS Enrollment IDI20120521000581
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

5

Medicare enrollment records show Melanie Caustrita reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
442 W HIGH ST
Bryan, OH 43506
  • Reassigned Medicare billing, Ohio enrollment
  • 133 clinicians in this Medicare group
Family Medicine
1032 W. WAYNE ST
Paulding, OH 45879
  • Reassigned Medicare billing, Ohio enrollment
  • 35 clinicians in this Medicare group
Surgery
830 W HIGH ST STE 206
Lima, OH 45801
  • Reassigned Medicare billing, Ohio enrollment
  • 439 clinicians in this Medicare group
Family Medicine
1612 CHAPIN RD
Chapin, SC 29036
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,219 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 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.

Hospital Affiliations CMS Care Compare 4

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Community Hospitals And Wellness Centers

Acute Care Hospitals · Bryan, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360121
Location433 West High StreetBryan, OH 43506 · Williams County
Birthing friendly

Paulding County Hospital

Critical Access Hospitals · Paulding, OH
OwnershipGovernment - Local
CMS Certification Number361300
Location1035 West Wayne St.Paulding, OH 45879 · Paulding County
Emergency services

Community Hospitals And Wellness Centers

Critical Access Hospitals · Montpelier, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361327
Location909 East Snyder AvenueMontpelier, OH 43543 · Williams County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43506 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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

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.

Speech-Language Pathologist
433 W HIGH ST
BRYAN, OH 43506
Emergency Medicine
433 W HIGH ST
BRYAN, OH 43506
Family Medicine
433 W HIGH ST
BRYAN, OH 43506
Nurse Practitioner
433 W HIGH ST
BRYAN, OH 43506
Nurse Anesthetist, Certified Registered
433 W HIGH ST
BRYAN, OH 43506
Nurse Anesthetist, Certified Registered
433 W HIGH ST
BRYAN, OH 43506
Radiology (Diagnostic Radiology)
433 W HIGH ST
BRYAN, OH 43506
Internal Medicine (Gastroenterology)
433 W HIGH ST
BRYAN, OH 43506

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 Caustrita's NPI number?

The NPI number for Melanie Caustrita is 1316219397. It was assigned to this individual provider in the NPPES registry on February 6, 2012.

Where is Melanie Caustrita located?

Melanie Caustrita practices at 433 W High St, Bryan, OH 43506. The listed phone number is (419) 630-2028.

What is Melanie Caustrita's specialty?

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

Is Melanie Caustrita enrolled in Medicare?

Yes. Melanie Caustrita 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 Caustrita's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Caustrita reassigns Medicare benefits to 5 organizations: Midwest Community Health Associates, Inc. (Bryan, OH), Paulding County Hospital Physician Services (Paulding, OH), Mercy Health Physicians Lima Specialty Care LLC (Lima, OH), Lexington Health Inc (Chapin, SC) and Signify Health, LLC (Dallas, TX). 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 Caustrita's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Caustrita accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Melanie Caustrita 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 Melanie Caustrita affiliated with any hospitals?

According to CMS data, Melanie Caustrita is affiliated with Parkview Regional Medical Center, Community Hospitals And Wellness Centers and Paulding County Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Caustrita was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.