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MELINDA K BARTHELME NP-C
NPI 1639104672
Nurse Practitioner - Family in Newton, IL

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
601 W WASHINGTON ST STE 3, NEWTON, IL 62448(217) 528-7541 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2020, May 20, 2020, Dec 10, 2015 and 1 more (4 updates tracked since 2015).

About Melinda K Barthelme Np-c NPPES

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

MELINDA K BARTHELME NP-C (NPI 1639104672) is an individual family provider in Newton, Illinois, licensed in Illinois (277000137) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains a secondary practice location in Newton.

NPPES Registry Identity

NPI1639104672
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELINDA K BARTHELMECredential: NP-C
Location Address601 W WASHINGTON ST STE 3Newton, IL 62448-1271
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541
Phone(217) 528-7541
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 11, 2006
Last NPPES UpdateOctober 23, 20204 updates tracked since enumeration
NPPES CertifiedOctober 23, 2020
✔ NPI 1639104672 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
Licenses✔ Licensed in IL · 277000137✔ Licensed in IL · 209000544
601 W WASHINGTON ST STE 3, Newton, IL 62448
Open in Google Maps ↗

Secondary Practice Location 1

Location 1507 W Washington StNewton, IL 62448-1247 · Phone (217) 342-4151

Other Identifiers 1

OtherP00465576IL · Railroad Medicare/palmetto Gba

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

Melinda K Barthelme Np-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 ID8123112646
PECOS Enrollment IDI20070914000328
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.

Hemoglobin a1c level, by device for home use 83037
A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.
92 services50 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services16 patients

Hospital Affiliations CMS Care Compare 4

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Crawford Memorial Hospital

Critical Access Hospitals · Robinson, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141343
Location1000 North Allen StreetRobinson, IL 62454 · Crawford County
Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL
OwnershipGovernment - Local
CMS Certification Number141351
Location911 Stacy Burk DrFlora, IL 62839 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62448 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier12 claims12 services$105.45 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier11 claims33 services$42.78 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier18 claims18 services$22.53 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier19 claims100 services$2.88 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
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims12 services$115.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Melinda Barthelme's NPI number?

The NPI number for Melinda Barthelme is 1639104672. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Melinda Barthelme located?

Melinda Barthelme practices at 601 W Washington St Ste 3, Newton, IL 62448. The listed phone number is (217) 528-7541.

What is Melinda Barthelme's specialty?

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

Is Melinda Barthelme enrolled in Medicare?

Yes. Melinda Barthelme 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.

Is Melinda Barthelme affiliated with any hospitals?

According to CMS data, Melinda Barthelme is affiliated with St Anthonys Memorial Hospital, Sarah Bush Lincoln Health Center, Crawford Memorial Hospital and Clay County Hospital.

When was this NPI record last updated?

The NPPES record for Melinda Barthelme was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.