MELISSA D. HIMES APRN-CNP
NPI 1609163948
Nurse Practitioner - Family in Columbus, OH

Active since July 07, 2011PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
1800 ZOLLINGER RD FL 3, COLUMBUS, OH 43221(614) 293-3230(614) 293-4030 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2021, Jan 24, 2019 (2 updates tracked since 2019).

About Melissa D. Himes Aprn-cnp NPPES

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

MELISSA D. HIMES APRN-CNP (NPI 1609163948) is an individual family provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.12465) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1609163948
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA D. HIMESCredential: APRN-CNP
Location Address1800 ZOLLINGER RD FL 3Columbus, OH 43221-2800
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-3230 · Fax (614) 293-4030
Fax(614) 293-4030
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 7, 2011
Last NPPES UpdateSeptember 28, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
NPI 1609163948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.12465
1800 ZOLLINGER RD FL 3, Columbus, OH 43221

Other Identifiers 1

Medicaid0053691OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Melissa D. Himes Aprn-cnp 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 ID4880863398
PECOS Enrollment IDI20110817000479
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.

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 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.
18 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43221 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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
1800 ZOLLINGER RD FL 3
COLUMBUS, OH 43221
Internal Medicine
1800 ZOLLINGER RD FL 3
COLUMBUS, OH 43221
Internal Medicine
1800 ZOLLINGER RD FL 3
COLUMBUS, OH 43221
Internal Medicine
1800 ZOLLINGER RD FL 3
COLUMBUS, OH 43221
Internal Medicine (Transplant Hepatology)
1800 ZOLLINGER RD FL 3
COLUMBUS, OH 43221
Internal Medicine
1800 ZOLLINGER RD FL 3
COLUMBUS, OH 43221
Surgery
1800 ZOLLINGER RD FL 3
COLUMBUS, OH 43221
Nurse Practitioner
1800 ZOLLINGER RD FL 3
COLUMBUS, OH 43221

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 Himes's NPI number?

The NPI number for Melissa Himes is 1609163948. It was assigned to this individual provider in the NPPES registry on July 7, 2011.

Where is Melissa Himes located?

Melissa Himes practices at 1800 Zollinger Rd Fl 3, Columbus, OH 43221. The listed phone number is (614) 293-3230.

What is Melissa Himes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melissa Himes enrolled in Medicare?

Yes. Melissa Himes 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.

What insurance does Melissa Himes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Melissa Himes 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 Melissa Himes affiliated with any hospitals?

According to CMS data, Melissa Himes is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Melissa Himes was last updated on September 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.