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MELISSA MARIE FOUNTAIN PA-C
NPI 1609327493
Physician Assistant - Medical in Lafayette, CO

Active since October 17, 2016PECOS EnrolledAccepts Medicare Assignment
1000 W SOUTH BOULDER RD STE 110, LAFAYETTE, CO 80026(303) 415-4355 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Marie Fountain Pa-c NPPES

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

MELISSA MARIE FOUNTAIN PA-C (NPI 1609327493) is an individual medical provider in Lafayette, Colorado, licensed in Colorado (PA0004816) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609327493
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMELISSA MARIE FOUNTAINCredential: PA-C
Location Address1000 W SOUTH BOULDER RD STE 110Lafayette, CO 80026-2753
Mailing Address1000 W South Boulder Rd Ste 110Lafayette, CO 80026-2753 · (303) 415-4355
Phone(303) 415-4355
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 17, 2016
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1609327493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CO · PA0004816
1000 W SOUTH BOULDER RD STE 110, Lafayette, CO 80026
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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 Marie Fountain Pa-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 ID9234490657
PECOS Enrollment IDI20180228000542
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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers17 claims17 services$34.42 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers12 claims62 services$12.00 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers16 claims16 services$47.93 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers13 claims13 services$14.55 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers23 claims136 services$1.70 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers24 claims24 services$15.31 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 6

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

KERRI M CHARLES M.D.
Family Medicine
1000 W SOUTH BOULDER RD STE 110
LAFAYETTE, CO 80026
Boulder County (303) 415-4355
DR. MIKYONG HAND MD
Family Medicine
1000 W SOUTH BOULDER RD STE 110
LAFAYETTE, CO 80026
Boulder County (303) 415-4355
BONNIE A WILENSKY C.N.S.
Clinical Nurse Specialist
1000 W SOUTH BOULDER RD STE 110
LAFAYETTE, CO 80026
Boulder County (303) 415-4355
BOULDER COMMUNITY HEALTH
Clinic/Center (Primary Care)
1000 W SOUTH BOULDER RD STE 110
LAFAYETTE, CO 80026
Boulder County (303) 415-4355
DR. KARA JIHEA CHOI MD
Family Medicine
1000 W SOUTH BOULDER RD STE 110
LAFAYETTE, CO 80026
Boulder County (303) 415-4355
MS. ALICIA ODELL MIERS FNP
Nurse Practitioner (Family)
1000 W SOUTH BOULDER RD STE 110
LAFAYETTE, CO 80026
Boulder County (303) 415-4355

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 Fountain's NPI number?

The NPI number for Melissa Fountain is 1609327493. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Where is Melissa Fountain located?

Melissa Fountain practices at 1000 W South Boulder Rd Ste 110, Lafayette, CO 80026. The listed phone number is (303) 415-4355.

What is Melissa Fountain's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Melissa Fountain enrolled in Medicare?

Yes. Melissa Fountain 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.

When was this NPI record last updated?

The NPPES record for Melissa Fountain was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.