MRS. MELISA ROSITA KENNER CRNP, PMHNP
NPI 1477288926
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA
About Mrs. Melisa Rosita Kenner Crnp, Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MELISA ROSITA KENNER CRNP, PMHNP (NPI 1477288926) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP025350) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Melisa Rosita Kenner Crnp, Pmhnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Melisa Kenner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bala Cynwyd, PA 19004
- Reassigned Medicare billing, Pennsylvania 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Melisa Kenner's NPI number?
The NPI number for Melisa Kenner is 1477288926. It was assigned to this individual provider in the NPPES registry on July 19, 2022.
Where is Melisa Kenner located?
Melisa Kenner practices at 4621 Old York Rd, Philadelphia, PA 19140. The listed phone number is (215) 908-2807.
What is Melisa Kenner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Melisa Kenner enrolled in Medicare?
Yes. Melisa Kenner 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 Melisa Kenner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melisa Kenner reassigns Medicare benefits to Vista Medical Services, Inc. (Bala Cynwyd, PA). 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 Melisa Kenner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Melisa Kenner was last updated on June 12, 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.
# Mrs. Melisa Rosita Kenner, CRNP, PMHNP · NPI 1477288926
Psychiatric/Mental Health physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 19, 2022.
## Identity
- **NPI:** 1477288926 (Entity type: Individual)
- **Enumerated:** July 19, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** SP025350 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4621 OLD YORK RD, Philadelphia, PA 19140-1221
- **Phone:** (215) 908-2807
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Vista Medical Services, Inc. (NPI 1659452027, Bala Cynwyd, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1477288926) · Data from the CMS NPPES public registry.