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MELANIE KOEHLER APRN, CNS
NPI 1366488264
Clinical Nurse Specialist - Psychiatric/Mental Health in Cranston, RI

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
95 SOCKANOSSET CROSS RD STE 305, CRANSTON, RI 02920(401) 946-6400(401) 946-6406 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Melanie Koehler Aprn, Cns NPPES

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

MELANIE KOEHLER APRN, CNS (NPI 1366488264) is an individual psychiatric/mental health provider in Cranston, Rhode Island, licensed in Rhode Island (APRN00476) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and maintains a secondary practice location in Cranston.

NPPES Registry Identity

NPI1366488264
Entity TypeIndividualFemale
Primary Taxonomy364SP0808X
Provider Legal NameMELANIE KOEHLERCredential: APRN, CNS
Location Address95 SOCKANOSSET CROSS RD STE 305Cranston, RI 02920-5559
Mailing Address95 Sockanosset Cross Rd Ste 305Cranston, RI 02920-5559 · (401) 946-6400 · Fax (401) 946-6406
Phone(401) 946-6400
Fax(401) 946-6406
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 21, 2006
Last NPPES UpdateMay 14, 2026
NPPES CertifiedMay 14, 2026
✔ NPI 1366488264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License✔ Licensed in RI · APRN00476
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License PPNS00016 (RI)
95 SOCKANOSSET CROSS RD STE 305, Cranston, RI 02920
Open in Google Maps ↗

Secondary Practice Location 1

Location 175 Sockanosset Cross Rd Ste 110Cranston, RI 02920-5558 · Phone (401) 946-6400 ext. 2 · Fax (401) 946-6406

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

Melanie Koehler Aprn, Cns 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 ID9234385972
PECOS Enrollment IDI20120810000663
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 Melanie Koehler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Garden City Psychiatry LLC
Same address
Psychiatric/Mental Health, Adult
95 SOCKANOSSET CROSS RD STE 305
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
NPI 1801246616 (401) 946-6400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

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.
171 services45 patients

Hospital Affiliations CMS Care Compare

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

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02920 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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

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

GARDEN CITY PSYCHIATRY LLC
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
95 SOCKANOSSET CROSS RD STE 305
CRANSTON, RI 02920
Providence County (401) 946-6400

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 Koehler's NPI number?

The NPI number for Melanie Koehler is 1366488264. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Melanie Koehler located?

Melanie Koehler practices at 95 Sockanosset Cross Rd Ste 305, Cranston, RI 02920. The listed phone number is (401) 946-6400.

What is Melanie Koehler's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Is Melanie Koehler enrolled in Medicare?

Yes. Melanie Koehler 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 Melanie Koehler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Koehler reassigns Medicare benefits to Garden City Psychiatry LLC (Cranston, RI). 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 Melanie Koehler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Melanie Koehler affiliated with any hospitals?

According to CMS data, Melanie Koehler is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Koehler was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.