MELANIE A STONE APRN, FNP-C
NPI 1316459852
Nurse Practitioner - Family in Atlanta, TX

Active since October 24, 2017PECOS EnrolledAccepts Medicare Assignment
81.35/100
CMS Quality Rating
305 N WILLIAM ST, ATLANTA, TX 75551(903) 614-3630(903) 614-3525 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2023, Jul 7, 2022, Jul 9, 2021 and 3 more (6 updates tracked since 2017).

About Melanie A Stone Aprn, Fnp-c NPPES

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

MELANIE A STONE APRN, FNP-C (NPI 1316459852) is an individual family provider in Atlanta, Texas, licensed in Texas (AP135490) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1316459852
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELANIE A STONECredential: APRN, FNP-C
Location Address305 N WILLIAM STAtlanta, TX 75551-2300
Mailing Address5002 Cowhorn Creek RdTexarkana, TX 75503-9766 · (903) 614-3000 · Fax (903) 614-3525
Fax(903) 614-3525
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 24, 2017
Last NPPES UpdateJuly 28, 20236 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
NPI 1316459852 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 TX · AP135490
305 N WILLIAM ST, Atlanta, TX 75551

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Melanie A Stone Aprn, Fnp-c 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 ID7719165950
PECOS Enrollment IDI20171214002455
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.

Areas of Expertise CMS Part B claims 33

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
428 services117 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
394 services195 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
251 services139 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
229 services84 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
132 services103 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
110 services97 patients

Hospital Affiliations CMS Care Compare

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

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75551 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

81.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.76
Promoting Interoperability68.25
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$104.90 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers14 claims14 services$32.82 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$169.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
305 N WILLIAM ST
ATLANTA, TX 75551
Nurse Practitioner
305 N WILLIAM ST
ATLANTA, TX 75551
Pharmacist
305 N WILLIAM ST
ATLANTA, TX 75551
Family Medicine
305 N WILLIAM ST
ATLANTA, TX 75551

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 Stone's NPI number?

The NPI number for Melanie Stone is 1316459852. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Melanie Stone located?

Melanie Stone practices at 305 N William St, Atlanta, TX 75551. The listed phone number is (903) 614-3630.

What is Melanie Stone's specialty?

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

Is Melanie Stone enrolled in Medicare?

Yes. Melanie Stone 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.

What insurance does Melanie Stone accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Health Advantage and Octave list Melanie Stone 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 Stone affiliated with any hospitals?

According to CMS data, Melanie Stone is affiliated with Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Melanie Stone was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.