SAMANTHA JILL MELNICK NP
NPI 1629580154
Nurse Practitioner - Gerontology in Boston, MA

Q: What is Samantha Melnick's NPI number?

The NPI number for Samantha Melnick is 1629580154. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Q: What is Samantha Melnick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Melnick was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 24, 2017PECOS EnrolledAccepts Medicare Assignment

830 HARRISON AVENUE, 3RD FL, MOAKLEY BLDG, BOSTON, MA 02118(617) 638-6428(617) 638-5756 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2026, Nov 10, 2023, Jul 25, 2023 and 1 more (4 updates tracked since 2017).

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About Samantha Jill Melnick Np NPPES

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

SAMANTHA JILL MELNICK NP (NPI 1629580154) is an individual gerontology provider in Boston, Massachusetts, licensed in Massachusetts (RN2320171) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1629580154

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSAMANTHA JILL MELNICKCredential: NP

Location Address830 HARRISON AVENUE, 3RD FL, MOAKLEY BLDGBoston, MA 02118-2905

Mailing Address960 Massachusetts Ave, Fl 2Boston, MA 02118-2690

Phone(617) 638-6428

Fax(617) 638-5756

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 24, 2017

Last NPPES UpdateMay 20, 20264 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1629580154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MA · RN2320171

Also ListedRegistered NurseTaxonomy 163W00000X · License 2320171 (MA)

830 HARRISON AVENUE, 3RD FL, Boston, MA 02118

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Secondary Practice Location 1

Location 1488 Dorchester Ave Unit 3FBoston, MA 02127-3363 · Phone (860) 573-6262

Other Identifiers 2

Medicaid3154022NH

Medicaid110201892AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Samantha Jill Melnick Np 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 ID9537519178

PECOS Enrollment IDI20231222002126

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 2

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.

27 services20 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.

16 services12 patients

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220031

Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

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.

DR. GEOFFREY R. OXNARD MD

Internal Medicine (Medical Oncology)