MELISSA ANN KUSHLAK D.O.
NPI 1659664175
Obstetrics & Gynecology in Boulder, CO

Q: What is Melissa Kushlak's NPI number?

The NPI number for Melissa Kushlak is 1659664175. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Q: What is Melissa Kushlak's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Kushlak was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 17, 2011PECOS EnrolledAccepts Medicare Assignment

4745 ARAPAHOE AVE STE 320, BOULDER, CO 80303(303) 441-0587(303) 996-0801 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2022, Oct 11, 2018, Feb 5, 2016 (3 updates tracked since 2016).

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About Melissa Ann Kushlak D.o. NPPES

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

MELISSA ANN KUSHLAK D.O. (NPI 1659664175) is an individual obstetrics & gynecology provider in Boulder, Colorado, licensed in Florida (15456) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Michigan State University College Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1659664175

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMELISSA ANN KUSHLAKCredential: D.O.

Location Address4745 ARAPAHOE AVE STE 320Boulder, CO 80303-1082

Mailing AddressPo Box 9049Boulder, CO 80301-9049 · (303) 441-0587 · Fax (303) 996-0801

Phone(303) 441-0587

Fax(303) 996-0801

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2010

Enumeration DateMay 17, 2011

Last NPPES UpdateSeptember 29, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2022

✔ NPI 1659664175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · 15456

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4745 ARAPAHOE AVE STE 320, Boulder, CO 80303

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Secondary Practice Locations 3

Location 11445 Sheldon Rd, Suite 301Grand Haven, MI 49417-2480 · Phone (616) 847-2500

Location 22466 E Commercial Blvd Ste 101Ft Lauderdale, FL 33308 · Phone (954) 776-4877 · Fax (954) 776-1399

Location 3101 Erie Pkwy Ste 201BErie, CO 80516-4072 · Phone (303) 441-0587 · Fax (303) 996-0801

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 Ann Kushlak D.o. 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 ID1254550882

PECOS Enrollment IDI20201116001254

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.

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 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80303 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE RAE TRAVER WHNP

Nurse Practitioner (Women's Health)