MELANIE MCGILLOWAY NP
NPI 1366921322
Nurse Practitioner in San Diego, CA

Active since August 10, 2018PECOS EnrolledAccepts Medicare Assignment
83.99/100
CMS Quality Rating
3444 KEARNY VILLA RD STE 202, SAN DIEGO, CA 92123(858) 429-7646(858) 429-7929 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 26, 2021, Jul 23, 2021, Aug 25, 2020 and 2 more (5 updates tracked since 2018).

About Melanie Mcgilloway Np NPPES

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

MELANIE MCGILLOWAY NP (NPI 1366921322) is an individual nurse practitioner in San Diego, California, licensed in California (95013799) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2005).

NPPES Registry Identity

NPI1366921322
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELANIE MCGILLOWAYCredential: NP
Location Address3444 KEARNY VILLA RD STE 202San Diego, CA 92123-1960
Mailing AddressPo Box 33865San Diego, CA 92163-3865 · (858) 888-7700 · Fax (858) 221-5036
Fax(858) 429-7929
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2005
Enumeration DateAugust 10, 2018
Last NPPES UpdateAugust 26, 20215 updates tracked since enumeration
NPPES CertifiedAugust 26, 2021
NPI 1366921322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95013799
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3444 KEARNY VILLA RD STE 202, San Diego, CA 92123

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

Melanie Mcgilloway Np 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 ID9537411103
PECOS Enrollment IDI20200423001752
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 8

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.
49 services44 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
31 services12 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.
20 services20 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
18 services18 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
17 services16 patients
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402
This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.4
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers13 claims45 services$9.16 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.

Specialist
3444 KEARNY VILLA RD STE 202
SAN DIEGO, CA 92123
Nurse Practitioner (Family)
3444 KEARNY VILLA RD STE 202
SAN DIEGO, CA 92123
Physician Assistant
3444 KEARNY VILLA RD STE 202
SAN DIEGO, CA 92123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366921322, enumerated as an "individual" on August 10, 2018.

The provider is located at 3444 KEARNY VILLA RD STE 202 SAN DIEGO, CA 92123 and the phone number is (858) 429-7646.

Nurse Practitioner with taxonomy code 363L00000X.