MELISSA LYNN MAPLES CPNP
NPI 1316260904
Nurse Practitioner - Pediatrics in Gadsden, AL

Q: What is Melissa Maples's NPI number?

The NPI number for Melissa Maples is 1316260904. It was assigned to this individual provider in the NPPES registry on March 10, 2010. The provider is also known as Melissa Lynn Chumbler.

Q: What is Melissa Maples's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Maples was last updated on April 24, 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.

Active since March 10, 2010PECOS Enrolled

1007 GOODYEAR AVE, GADSDEN, AL 35903(256) 494-4000 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 3, 2025, Oct 7, 2021, Jul 21, 2020 and 2 more (5 updates tracked since 2019).

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About Melissa Lynn Maples Cpnp NPPES

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

MELISSA LYNN MAPLES CPNP (NPI 1316260904) is an individual pediatrics provider in Gadsden, Alabama, licensed in Alabama (1-112048) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rome.

NPPES Registry Identity

NPI1316260904

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMELISSA LYNN MAPLESCredential: CPNP

Location Address1007 GOODYEAR AVEGadsden, AL 35903-1195

Mailing Address221 Technology Pkwy NwRome, GA 30165-1369 · (762) 235-1000

Phone(256) 494-4000

Sole ProprietorNo

Enumeration DateMarch 10, 2010

Last NPPES UpdateApril 24, 20255 updates tracked since enumeration

NPPES CertifiedApril 24, 2025

✔ NPI 1316260904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in AL · 1-112048

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN132924 (GA)

1007 GOODYEAR AVE, Gadsden, AL 35903

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Other Names 1

Other Name (5)Melissa Lynn Chumbler

Secondary Practice Location 1

Location 185 John Maddox Drive Connector NWRome, GA 30165-1233 · Phone (762) 235-2990 · Fax (706) 238-8031

Other Identifiers 3

Medicaid107047396CGA

Medicaid107047396BGA

Medicaid107047396AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Health, Oscar Insurance Company.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 Lynn Maples Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Melissa Maples reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gadsden Regional Physician Group Practice LLC

Same address

Internal Medicine

1007 GOODYEAR AVE
Gadsden, AL 35903

Reassigned Medicare billing, Alabama enrollment
48 clinicians in this Medicare group

NPI 1558506550 (256) 494-4000

Harbin Clinic, LLC

49 mi

Multi-Specialty

1825 MARTHA BERRY BLVD NW
Rome, GA 30165

Reassigned Medicare billing, Alabama enrollment
16 clinicians in this Medicare group

NPI 1679599088 (762) 235-1470

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 35903 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%1,675 patients4/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%264 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

99%1,256 patients5/55-star benchmark: 97%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

13%188 patients1/55-star benchmark: 96%

Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists

Percentage of children, age 0-20 years, who received a fluoride varnish application during the measurement period

37%1,086 patients

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

98%1,256 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

8%1,256 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

28%1,256 patients

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

Patients nutrition: 84% · 705 patients

Patients physicalActivity: 84% · 705 patients

100%705 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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