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MELISSA FILLMORE PMHNP-BC
NPI 1356855142
Nurse Practitioner - Psychiatric/Mental Health in Santa Monica, CA

Active since December 01, 2017PECOS EnrolledAccepts Medicare Assignment
2001 WILSHIRE BLVD STE 320, SANTA MONICA, CA 90403(310) 566-2006(424) 322-1214 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 27, 2025, Nov 12, 2024, Aug 27, 2019 and 2 more (5 updates tracked since 2017).

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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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 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.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Fillmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mark David Levine, MD Fresno
205 mi
Psychiatry
5100 N 6TH ST, STE 135
Fresno, CA 93710
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Mark David Levine MD Professional Corporation
  • 329 clinicians in this Medicare group
NPI 1124387097 (559) 490-2067

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 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 10

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

ALLIE R SHAPIRO M.D.
Psychiatry & Neurology (Psychiatry)
2001 WILSHIRE BLVD STE 320
SANTA MONICA, CA 90403
Los Angeles County (855) 501-1004
MRS. BEATA ALINA PEARCE MSN, FNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2001 WILSHIRE BLVD STE 320
SANTA MONICA, CA 90403
Los Angeles County (855) 501-1004
KIM VU
Nurse Practitioner (Psychiatric/Mental Health)
2001 WILSHIRE BLVD STE 320
SANTA MONICA, CA 90403
Los Angeles County (310) 566-2006
DR. MICHELLE GOLDMAN ASHLEY M.D.
Psychiatry & Neurology (Psychiatry)
2001 WILSHIRE BLVD STE 320
SANTA MONICA, CA 90403
Los Angeles County (855) 501-1004
MRS. VERRETTA MOORE DNP
Nurse Practitioner (Psychiatric/Mental Health)
2001 WILSHIRE BLVD STE 320
SANTA MONICA, CA 90403
Los Angeles County (310) 566-2006
BRIANNA THOMPSON
Nurse Practitioner (Psychiatric/Mental Health)
2001 WILSHIRE BLVD STE 320
SANTA MONICA, CA 90403
Los Angeles County (855) 427-2778
ANIA JACQUELINE ANIOL
Psychiatry & Neurology (Psychiatry)
2001 WILSHIRE BLVD STE 320
SANTA MONICA, CA 90403
Los Angeles County (855) 501-1004
DR. JAYE ANTHONY ESTRADA MD
Psychiatry & Neurology (Psychiatry)
2001 WILSHIRE BLVD STE 320
SANTA MONICA, CA 90403
Los Angeles County (855) 501-1004

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 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.

Where is Melissa Fillmore located?

Melissa Fillmore practices at 2001 Wilshire Blvd Ste 320, Santa Monica, CA 90403. The listed phone number is (310) 566-2006.

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.

Is Melissa Fillmore enrolled in Medicare?

Yes. Melissa Fillmore 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 Fillmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Fillmore reassigns Medicare benefits to Mark David Levine, MD Fresno (Fresno, CA). 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 Fillmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Fillmore was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.