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MELISSA R MCFADDEN CRNP
NPI 1497082374
Nurse Practitioner in Pittsburgh, PA

Active since November 12, 2009PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
5215 CENTRE AVE STE 100, PITTSBURGH, PA 15232(412) 623-6200 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2022, Feb 19, 2016 (2 updates tracked since 2016).

About Melissa R Mcfadden Crnp NPPES

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

MELISSA R MCFADDEN CRNP (NPI 1497082374) is an individual nurse practitioner in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP010415) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1497082374
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELISSA R MCFADDENCredential: CRNP
Location Address5215 CENTRE AVE STE 100Pittsburgh, PA 15232-1303
Mailing Address200 Lothrop St, Forbes Tower, Room 9055Pittsburgh, PA 15213-2536 · (412) 647-3087
Phone(412) 623-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 12, 2009
Last NPPES UpdateApril 11, 20222 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
✔ NPI 1497082374 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 PA · SP010415
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.
5215 CENTRE AVE STE 100, Pittsburgh, PA 15232
Open in Google Maps ↗

Other Names 1

Former Name (1)Melissa R Diruscia Crnp

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

Melissa R Mcfadden Crnp 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 ID2961542824
PECOS Enrollment IDI20091228000409
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

3

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

Upmc Community Medicine Inc
Same address
Internal Medicine
5215 CENTRE AVE
Pittsburgh, PA 15232
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
NPI 1316241318 (412) 623-6200
University Of Pittsburgh Physicians
Same address
Internal Medicine
5215 CENTRE AVE, FIRST FLOOR
Pittsburgh, PA 15232
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1013188432 (412) 647-3087
Signify Health Medical Associates, PLLC
1,070 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 553 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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.
21 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Other Providers at the Same Location NPPES 2

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

UPMC COMMUNITY MEDICINE, INC
Internal Medicine
5215 CENTRE AVE STE 100
PITTSBURGH, PA 15232
Allegheny County (412) 623-6200
NINA TERESA DEPP CRNP
Nurse Practitioner (Family)
5215 CENTRE AVE STE 100
PITTSBURGH, PA 15232
Allegheny County (412) 623-6200

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 Melissa Mcfadden's NPI number?

The NPI number for Melissa Mcfadden is 1497082374. It was assigned to this individual provider in the NPPES registry on November 12, 2009. The provider is also known as Melissa R Diruscia Crnp.

Where is Melissa Mcfadden located?

Melissa Mcfadden practices at 5215 Centre Ave Ste 100, Pittsburgh, PA 15232. The listed phone number is (412) 623-6200.

What is Melissa Mcfadden's specialty?

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

Is Melissa Mcfadden enrolled in Medicare?

Yes. Melissa Mcfadden 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 Melissa Mcfadden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Mcfadden reassigns Medicare benefits to 3 organizations: Upmc Community Medicine Inc (Pittsburgh, PA), University Of Pittsburgh Physicians (Pittsburgh, PA) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Melissa Mcfadden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Melissa Mcfadden affiliated with any hospitals?

According to CMS data, Melissa Mcfadden is affiliated with Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Melissa Mcfadden was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.