MELISSA VIRANT NPI 1619379369
Nurse Practitioner in Plymouth, WI

About MELISSA VIRANT

Melissa Virant is a provider established in Plymouth, Wisconsin and her medical specialization is Nurse Practitioner with more than 9 years of experience. The NPI number of this provider is 1619379369 and was assigned on September 2014. The practitioner's primary taxonomy code is 363L00000X with license number 6037-033 (WI). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1619379369
Provider Name MELISSA VIRANT
Location Address825 WALTON DR PLYMOUTH, WI 53073
Location Phone(920) 496-4700
Mailing Address825 WALTON DR PLYMOUTH, WI 53073
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2014
Is Sole Proprietor?No
Enumeration Date09-24-2014
Last Update Date09-24-2014

A nurse practitioner (NP) like Melissa Virant is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.Melissa Virant is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Melissa Virant is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with .

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.3, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.4 for a new patient copayment and $24.86 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363L00000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.6037-033
License StateWI
Taxonomy Description(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.

Business Address

825 WALTON DR
PLYMOUTH, WI
ZIP 53073
Phone: (920) 496-4700

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Mailing Address

825 WALTON DR
PLYMOUTH, WI
ZIP 53073
Phone: (920) 496-4700


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID3072735646
PECOS Enrollment IDI20141114001388
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 53073 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$55.63 $169.16 $85.6
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.9 $42.29 $21.4
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.46 $138.8 $99.45
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.36 $34.7 $24.86

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 98
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 78
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 92.3
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619379369
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26296718312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 6 + 7 + 1 + 8 + 3 + 1 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1619379369 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508943929 DEANNA LYONS DC
Individual
Chiropractor825 WALTON DR
PLYMOUTH, WI 53073
(920) 496-4700
1679650097 TRACY LYONS DC
Individual
Chiropractor825 WALTON DR
PLYMOUTH, WI 53073
(920) 892-4322
1518214394 KRISTIN KAISER OTR
Individual
Occupational Therapist825 WALTON DR
PLYMOUTH, WI 53073
(920) 496-4700
1205212214 HEATHER MEEUSEN
Individual
Nurse Practitioner (Primary Care)825 WALTON DR
PLYMOUTH, WI 53073
(920) 893-0903
1184919359 SARAH A WEGNER PT
Individual
Physical Therapist825 WALTON DR
PLYMOUTH, WI 53073
(920) 892-4322
1619476256 ANGELA MEG MONTAGUE APNP
Individual
Nurse Practitioner (Family)825 WALTON DR
PLYMOUTH, WI 53073
(920) 892-4322
1013090455DR. JENNIFER ANN-GABRYS RENCH MD
Individual
Family Medicine825 WALTON DR
PLYMOUTH, WI 53073
(920) 893-4322
1821136300MRS. HEIDI ANN BUTLER MSW, LCSW, CSAC
Individual
Social Worker (Clinical)825 WALTON DR
PLYMOUTH, WI 53073
(920) 496-4700
1407122708 ALISON J ZIMMERMANN PT
Individual
Physical Therapist825 WALTON DR
PLYMOUTH, WI 53073
(920) 496-4700
1851961114 NICOLE CATHERINE REIL DPT
Individual
Physical Therapist825 WALTON DR
PLYMOUTH, WI 53073
(920) 496-4700
1659636108ST NICHOLAS HOSPITAL-SISTERS OF THIRD ORDER OF ST FRANCIS
Organization
Durable Medical Equipment & Medical Supplies825 WALTON DR
PLYMOUTH, WI 53073
(920) 892-4322
1356083810 JOLENE WITTMANN APNP
Individual
Nurse Practitioner (Family)825 WALTON DR
PLYMOUTH, WI 53073
(920) 496-4700
1104415835 JESSICA KRUPINSKI PA
Individual
Physician Assistant825 WALTON DR
PLYMOUTH, WI 53073
(920) 496-4700
1063626158MRS. KRISTI L HORNECK PT, DPT
Individual
Physical Therapist825 WALTON DR
PLYMOUTH, WI 53073
(920) 496-4700
1508587981 MELISSA GIEBEL CWP
Individual
Health and Wellness Coach825 WALTON DR
PLYMOUTH, WI 53073
(920) 451-7304
1871141051 COURTNEY A HANSEN APNP FNP-BC
Individual
Nurse Practitioner (Family)825 WALTON DR
PLYMOUTH, WI 53073
(920) 496-4700

Frequently Asked Questions

What is Melissa Virant NPI number?

The NPI number assigned to this healthcare provider is 1619379369, registered as an "individual" on September 24, 2014

Where is Melissa Virant located?

The provider is located at 825 Walton Dr Plymouth, Wi 53073 and the phone number is (920) 496-4700

Which is Melissa Virant specialty?

The provider's speciality is Nurse Practitioner

How many years of experience does Melissa Virant have?

The provider has more than 9 years of experience.

Is Melissa Virant registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Melissa Virant Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

How much is a visit to Melissa Virant ?

Medicare beneficiaries should expect a typical cost of $85.6 with an average copayment of $21.4 for new patient appointments. Established patients should expect a typical charge of $99.45 and an average copayment of 24.86. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Melissa Virant was last updated on September 24, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]