MELISSA PONCY
NPI 1376286369
Nurse Practitioner in Denver, CO

Q: What is Melissa Poncy's NPI number?

The NPI number for Melissa Poncy is 1376286369. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Q: What is Melissa Poncy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Poncy was last updated on September 5, 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.

Active since April 18, 2022PECOS Enrolled

1721 E 19TH AVE STE 300, DENVER, CO 80218(720) 754-4800 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2023, Nov 2, 2022, Apr 18, 2022 (3 updates tracked since 2022).

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About Melissa Poncy NPPES

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

MELISSA PONCY (NPI 1376286369) is an individual nurse practitioner in Denver, Colorado, licensed in Colorado (99807) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2022).

NPPES Registry Identity

NPI1376286369

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMELISSA PONCY

Location Address1721 E 19TH AVE STE 300Denver, CO 80218-1258

Mailing Address1721 E 19th Ave Ste 300Denver, CO 80218-1258 · (720) 754-4800

Phone(720) 754-4800

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2022

Enumeration DateApril 18, 2022

Last NPPES UpdateSeptember 5, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2023

✔ NPI 1376286369 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 CO · 99807

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.

1721 E 19TH AVE STE 300, Denver, CO 80218

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Poncy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082082748

PECOS Enrollment IDI20221130001980

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 Poncy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthone Clinic Services - Oncology Hematology LLC

Same address

Hematology & Oncology

1721 E 19TH AVE STE 300
Denver, CO 80218

Reassigned Medicare billing, Colorado enrollment
41 clinicians in this Medicare group

NPI 1376873208 (720) 754-4800

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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

103 services78 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

66 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80218 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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 20

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

ANDREA L GRACE P.A.

Physician Assistant (Surgical)