MS. MELANIE ELAINE GARNER ACNP
NPI 1427501220
Nurse Practitioner - Acute Care in Dayton, OH

Active since July 27, 2016PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
2222 PHILADELPHIA DR, DAYTON, OH 45406(937) 734-3683 Get Directions Write a Review

NPPES record last updated: June 22, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Melanie Elaine Garner Acnp NPPES

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

MS. MELANIE ELAINE GARNER ACNP (NPI 1427501220) is an individual acute care provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.019470) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Atrium Medical Center, and is a graduate of Wright State University Boonshoft School Of Medicine (2016).

NPPES Registry Identity

NPI1427501220
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. MELANIE ELAINE GARNERCredential: ACNP
Location Address2222 PHILADELPHIA DRDayton, OH 45406-1813
Mailing Address3170 Kettering Blvd, Building B, 3rd FloorMoraine, OH 45439-1813 · (937) 991-3188 · Fax (937) 223-9811
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2016
Enumeration DateJuly 27, 2016
Last NPPES UpdateJune 22, 2017
✔ NPI 1427501220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.019470
2222 PHILADELPHIA DR, Dayton, OH 45406

Accepted Insurance

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

Ms. Melanie Elaine Garner Acnp 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 ID5395014088
PECOS Enrollment IDI20170712001940
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 Reassignments

2

Medicare enrollment records show Melanie Garner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Infectious Disease
2200 PHILADELPHIA DR, 3RD FL
Dayton, OH 45406
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
Pulmonary Disease
9001 N MAIN ST, SUITE A
Dayton, OH 45415
  • Reassigned Medicare billing, Ohio enrollment
  • 43 clinicians in this Medicare group

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45406 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

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.

Anesthesiology
2222 PHILADELPHIA DR
DAYTON, OH 45406
Psychiatry & Neurology (Psychiatry)
2222 PHILADELPHIA DR
DAYTON, OH 45406
Anesthesiology
2222 PHILADELPHIA DR
DAYTON, OH 45406
Nurse Anesthetist, Certified Registered
2222 PHILADELPHIA DR
DAYTON, OH 45406
Clinical Nurse Specialist (Adult Health)
2222 PHILADELPHIA DR, SUITE 4505
DAYTON, OH 45406
Nurse Anesthetist, Certified Registered
2222 PHILADELPHIA DR
DAYTON, OH 45406
Psychiatry & Neurology (Psychiatry)
2222 PHILADELPHIA DR, SUITE 4505
DAYTON, OH 45406
Clinical Nurse Specialist
2222 PHILADELPHIA DR
DAYTON, OH 45406

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 Garner's NPI number?

The NPI number for Melanie Garner is 1427501220. It was assigned to this individual provider in the NPPES registry on July 27, 2016.

Where is Melanie Garner located?

Melanie Garner practices at 2222 Philadelphia Dr, Dayton, OH 45406. The listed phone number is (937) 734-3683.

What is Melanie Garner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Melanie Garner enrolled in Medicare?

Yes. Melanie Garner 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 organizations bill Medicare for Melanie Garner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Garner reassigns Medicare benefits to 2 organizations: Premier Health Specialists Inc (Dayton, OH) and Rajesh C Patel MD Inc (Dayton, OH). Each 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 Garner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Garner accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Melanie Garner 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 Melanie Garner affiliated with any hospitals?

According to CMS data, Melanie Garner is affiliated with Atrium Medical Center.

When was this NPI record last updated?

The NPPES record for Melanie Garner was last updated on June 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.