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MELONIE C. KALNENIEKS PA-C
NPI 1366601239
Physician Assistant in Springfield, MA

Active since June 05, 2008PECOS EnrolledAccepts Medicare Assignment
1040 MAIN ST, SPRINGFIELD, MA 01103(413) 739-1100(413) 304-4672 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Aug 12, 2016 (2 updates tracked since 2016).

About Melonie C. Kalnenieks Pa-c NPPES

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

MELONIE C. KALNENIEKS PA-C (NPI 1366601239) is an individual physician assistant in Springfield, Massachusetts, licensed in Massachusetts (2319) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Ctr, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1366601239
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMELONIE C. KALNENIEKSCredential: PA-C
Location Address1040 MAIN STSpringfield, MA 01103-2107
Mailing Address1049 Main StSpringfield, MA 01103-2114 · (413) 739-1100 · Fax (413) 304-4672
Phone(413) 739-1100
Fax(413) 304-4672
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 5, 2008
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1366601239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · 2319
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1040 MAIN ST, Springfield, MA 01103
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Other Identifiers 2

OtherMC0669789JMA · Controlled Substance Registration
Medicaid1310097MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Melonie C. Kalnenieks Pa-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 ID7214019314
PECOS Enrollment IDI20080129000147
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 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
537 services270 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
55 services55 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
26 services20 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.
19 services18 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220066
Location271 Carew StreetSpringfield, MA 01104 · Hampden County
Emergency services Birthing friendly

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01103 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers65 claims155 services$5.70 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers24 claims35 services$1.03 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 3

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

DR. HARVEY M. BINDER M.D.
Pediatrics
1040 MAIN ST, CARING HEALTH CENTER
SPRINGFIELD, MA 01103
Hampden County (413) 739-1100
DR. NATALYA PROKHOROVA M.D.
Pediatrics
1040 MAIN ST
SPRINGFIELD, MA 01103
Hampden County (413) 739-1100
CARING HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1040 MAIN ST
SPRINGFIELD, MA 01103
Hampden County (413) 739-1100

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 Melonie Kalnenieks's NPI number?

The NPI number for Melonie Kalnenieks is 1366601239. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Melonie Kalnenieks located?

Melonie Kalnenieks practices at 1040 Main St, Springfield, MA 01103. The listed phone number is (413) 739-1100.

What is Melonie Kalnenieks's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Melonie Kalnenieks enrolled in Medicare?

Yes. Melonie Kalnenieks 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 Melonie Kalnenieks accept?

Health plans from Anthem Blue Cross and Blue Shield list Melonie Kalnenieks 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 Melonie Kalnenieks affiliated with any hospitals?

According to CMS data, Melonie Kalnenieks is affiliated with Mercy Medical Ctr and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Melonie Kalnenieks was last updated on March 7, 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.