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MELISSA MOYER RUDOLPH CRNP
NPI 1649079856
Nurse Practitioner - Family in Philadelphia, PA

Active since March 10, 2025PECOS EnrolledAccepts Medicare Assignment
1819 SPRUCE ST APT 1R, PHILADELPHIA, PA 19103(267) 280-2390 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1649079856
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA MOYER RUDOLPHCredential: CRNP
Location Address1819 SPRUCE ST APT 1RPhiladelphia, PA 19103-5874
Mailing Address1819 Spruce St Apt 1rPhiladelphia, PA 19103-5874 · (267) 280-2390
Phone(267) 280-2390
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
✔ NPI 1649079856 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 PA · SP032397
1819 SPRUCE ST APT 1R, Philadelphia, PA 19103
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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 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.

PECOS PAC ID7719406800
PECOS Enrollment IDI20250521003225
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.

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.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

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 17 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.