MRS. MELANIE ROSE VERNACCHIA NP-C
NPI 1477997666
Nurse Practitioner - Adult Health in Montclair, NJ

Q: What is Melanie Vernacchia's NPI number?

The NPI number for Melanie Vernacchia is 1477997666. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Q: What is Melanie Vernacchia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment

28 VALLEY RD # 148, MONTCLAIR, NJ 07042(973) 559-4600(855) 998-4358 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2025, Apr 5, 2019 (2 updates tracked since 2019).

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About Mrs. Melanie Rose Vernacchia Np-c NPPES

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

MRS. MELANIE ROSE VERNACCHIA NP-C (NPI 1477997666) is an individual adult health provider in Montclair, New Jersey, licensed in New Jersey (26NJ00432200) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and maintains a secondary practice location in Lakewood.

NPPES Registry Identity

NPI1477997666

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. MELANIE ROSE VERNACCHIACredential: NP-C

Location Address28 VALLEY RD # 148Montclair, NJ 07042-2709

Mailing Address600 River Ave Fl 3Lakewood, NJ 08701-5237 · (732) 886-4700 · Fax (732) 886-4705

Phone(973) 559-4600

Fax(855) 998-4358

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateApril 18, 2013

Last NPPES UpdateJune 4, 20252 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1477997666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NJ · 26NJ00432200

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ00432200 (NJ)

28 VALLEY RD # 148, Montclair, NJ 07042

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Secondary Practice Location 1

Location 1600 River Ave Fl 3Lakewood, NJ 08701-5237 · Phone (732) 886-4700 · Fax (732) 886-4705

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Mrs. Melanie Rose Vernacchia Np-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 ID5092956110

PECOS Enrollment IDI20130731000777

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

Medicare enrollment records show Melanie Vernacchia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group, PC

5.5 mi

Specialist

95 OLD SHORT HILLS RD
West Orange, NJ 07052

Reassigned Medicare billing, New Jersey enrollment
757 clinicians in this Medicare group

NPI 1447206420 (888) 724-7123

Rwjbh Primary Care Services

5.5 mi

Internal Medicine

95 OLD SHORT HILLS RD
West Orange, NJ 07052

Reassigned Medicare billing, New Jersey enrollment
428 clinicians in this Medicare group

NPI 1265037501 (973) 322-5000

Barnabas Health Medical Group PC

11 mi

Specialist

225 WILLIAMSON ST
Elizabeth, NJ 07202

Reassigned Medicare billing, New Jersey enrollment
1,894 clinicians in this Medicare group

NPI 1841557246 (888) 724-7123

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 10

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.

148 services83 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.

135 services86 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.

100 services100 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

79 services31 patients

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.

66 services49 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

43 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310041

Location99 Rt 37 WestToms River, NJ 08755 · Ocean County

Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310084

Location600 River AveLakewood, NJ 08701 · Ocean County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

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

5 suppliers11 claims43 services$6.29 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$61.19 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 19

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

MRS. MICHELLE GILES-HONORE APN

Nurse Practitioner (Family)