MELISSA KAY PLOTNER FNP
NPI 1639790389
Nurse Practitioner - Family in Fairmont, WV

Q: What is Melissa Plotner's NPI number?

The NPI number for Melissa Plotner is 1639790389. It was assigned to this individual provider in the NPPES registry on May 5, 2020. The provider is also known as Melissa Kay Spring Fnp.

Q: What is Melissa Plotner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Plotner was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 May 05, 2020PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

1322 LOCUST AVE, FAIRMONT, WV 26554(304) 366-0700(304) 367-8766 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2024, Nov 5, 2020, Oct 30, 2020 and 3 more (6 updates tracked since 2020).

On this page

About Melissa Kay Plotner Fnp NPPES

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

MELISSA KAY PLOTNER FNP (NPI 1639790389) is an individual family provider in Fairmont, West Virginia, licensed in West Virginia (106853) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1639790389

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELISSA KAY PLOTNERCredential: FNP

Location Address1322 LOCUST AVEFairmont, WV 26554-1436

Mailing AddressPo Box 1112Fairmont, WV 26555-1112 · (304) 366-0700 · Fax (304) 367-8766

Phone(304) 366-0700

Fax(304) 367-8766

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 5, 2020

Last NPPES UpdateNovember 20, 20246 updates tracked since enumeration

NPPES CertifiedNovember 20, 2024

✔ NPI 1639790389 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 WV · 106853

1322 LOCUST AVE, Fairmont, WV 26554

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Other Names 1

Former Name (1)Melissa Kay Spring Fnp

Secondary Practice Locations 5

Location 16000 Memorial Church DrMorgantown, WV 26501-1503 · Phone (304) 292-7316 · Fax (304) 599-8917

Location 21000 Mon Health Medical Park Dr Ste 1201Morgantown, WV 26505-1143 · Phone (304) 599-9400 · Fax (304) 599-8917

Location 31300 Fort Pierpont Dr Ste 101Morgantown, WV 26508-1314 · Phone (304) 241-7150 · Fax (304) 599-8917

Location 41 Columbia RdShinnston, WV 26431-1016 · Phone (304) 592-1040 · Fax (304) 592-5317

Location 5118 Market StMannington, WV 26582-1131 · Phone (304) 986-1750 · Fax (304) 986-3742

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Kay Plotner Fnp 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 ID8426474982

PECOS Enrollment IDI20200813002941

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

35 services35 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

21 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510001

Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26554 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

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.

SARIAH DALE WALDRON

Nurse Practitioner (Primary Care)