1. Home
  2. Directory
  3. Texas
  4. New Braunfels
  5. Social Worker
  6. NPI Profile

MELISSA KAY MIDDLETON
NPI 1356285365
Social Worker - Clinical in New Braunfels, TX

Active since April 18, 2026PECOS EnrolledAccepts Medicare Assignment
1326 MACH DR, NEW BRAUNFELS, TX 78130(806) 224-3974 Get Directions Write a Review

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melissa Kay Middleton NPPES

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

MELISSA KAY MIDDLETON (NPI 1356285365) is an individual clinical provider in New Braunfels, Texas, licensed in Texas (67852) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1356285365
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA KAY MIDDLETON
Location Address1326 MACH DRNew Braunfels, TX 78130-0865
Mailing Address1326 Mach DrNew Braunfels, TX 78130-0865 · (806) 224-3974
Phone(806) 224-3974
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 18, 2026
NPPES CertifiedApril 18, 2026
✔ NPI 1356285365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 67852
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1326 MACH DR, New Braunfels, TX 78130
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and more.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 Kay Middleton 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 ID7214493006
PECOS Enrollment IDI20260731002317
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 Middleton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Care Center LLC,
70 mi
Mental Health (Including Community Mental Health Center)
551 S. IH 35, SUITE 200
Round Rock, TX 78664
  • Reassigned Medicare billing, Texas enrollment
  • 211 clinicians in this Medicare group
NPI 1427786482 (719) 540-2100

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 78130 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
$0.00 typical visit price
range $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Middleton's NPI number?

The NPI number for Melissa Middleton is 1356285365. It was assigned to this individual provider in the NPPES registry on April 18, 2026.

Where is Melissa Middleton located?

Melissa Middleton practices at 1326 Mach Dr, New Braunfels, TX 78130. The listed phone number is (806) 224-3974.

What is Melissa Middleton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Melissa Middleton enrolled in Medicare?

Yes. Melissa Middleton 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 Middleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Middleton reassigns Medicare benefits to Family Care Center LLC, (Round Rock, TX). 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 Middleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Middleton accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Melissa Middleton 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 Middleton was last updated on April 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.