MELISSA MOYER RUDOLPH CRNP
NPI 1649079856
Nurse Practitioner - Family in Philadelphia, PA
About Melissa Moyer Rudolph Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA MOYER RUDOLPH CRNP (NPI 1649079856) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP032397) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Melissa Moyer Rudolph Crnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Melissa Rudolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20009
- Reassigned Medicare billing, District of Columbia enrollment
- 343 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Rudolph's NPI number?
The NPI number for Melissa Rudolph is 1649079856. It was assigned to this individual provider in the NPPES registry on March 10, 2025.
Where is Melissa Rudolph located?
Melissa Rudolph practices at 1819 Spruce St Apt 1R, Philadelphia, PA 19103. The listed phone number is (267) 280-2390.
What is Melissa Rudolph's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Melissa Rudolph enrolled in Medicare?
Yes. Melissa Rudolph 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.
Which organization bills Medicare for Melissa Rudolph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Rudolph reassigns Medicare benefits to Unity Health Care, Inc. (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Rudolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Melissa Rudolph was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Melissa Moyer Rudolph, CRNP · NPI 1649079856
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 10, 2025.
## Identity
- **NPI:** 1649079856 (Entity type: Individual)
- **Enumerated:** March 10, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP032397 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1819 SPRUCE ST APT 1R, Philadelphia, PA 19103-5874
- **Phone:** (267) 280-2390
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Unity Health Care, Inc. (NPI 1093894172, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649079856) · Data from the CMS NPPES public registry.