MELISSA FILLMORE PMHNP-BC - NPI 1356855142 - Nurse Practitioner in Santa Monica, CA

Q: What is Melissa Fillmore's NPI number?

The NPI number for Melissa Fillmore is 1356855142. It was assigned to this individual provider in the NPPES registry on December 1, 2017.

Q: What is Melissa Fillmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Fillmore was last updated on February 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Melissa Fillmore Pmhnp-bc NPPES

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

MELISSA FILLMORE PMHNP-BC (NPI 1356855142) is an individual psychiatric/mental health provider in Santa Monica, California, licensed in California (NP95013755) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1356855142

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMELISSA FILLMORECredential: PMHNP-BC

Location Address2001 WILSHIRE BLVD STE 320Santa Monica, CA 90403-5683

Mailing Address2001 Wilshire Blvd Ste 320Santa Monica, CA 90403-5683 · (310) 566-2006 · Fax (424) 322-1214

Phone(310) 566-2006

Fax(424) 322-1214

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 1, 2017

Last NPPES UpdateFebruary 27, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2025

✔ NPI 1356855142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · NP95013755

Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X · License RN.428291 (OH)

2001 WILSHIRE BLVD STE 320, Santa Monica, CA 90403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Melissa Fillmore Pmhnp-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 ID2961766050

PECOS Enrollment IDI20240912001411

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90403 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIM VU

Nurse Practitioner (Psychiatric/Mental Health)