MELANIE SMITH AGACNP
NPI 1669102208
Nurse Practitioner - Gerontology in Seguin, TX

Active since June 15, 2022PECOS Enrolled
86.1/100
CMS Quality Rating
1215 E COURT ST, SEGUIN, TX 78155(830) 379-2411 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melanie Smith Agacnp NPPES

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

MELANIE SMITH AGACNP (NPI 1669102208) is an individual gerontology provider in Seguin, Texas, licensed in Texas (1084536) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Guadalupe Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669102208
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMELANIE SMITHCredential: AGACNP
Location Address1215 E COURT STSeguin, TX 78155-5129
Mailing Address1215 E Court StSeguin, TX 78155-5129
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 15, 2022
Last NPPES UpdateJanuary 20, 2023
NPPES CertifiedJanuary 10, 2023
NPI 1669102208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in TX · 1084536
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1084536 (TX)
1215 E COURT ST, Seguin, TX 78155

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Melanie Smith Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365827912
PECOS Enrollment IDI20220916002598
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
262 services114 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.
215 services70 patients
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.
109 services77 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
91 services86 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.
34 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number450104
Location1215 E Court StSeguin, TX 78155 · Guadalupe County
Emergency services Birthing friendly

Resolute Health Hospital

Acute Care Hospitals · New Braunfels, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670098
Location555 Creekside Xing,New Braunfels, TX 78130 · Comal County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78155 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.94
Promoting Interoperability98
Improvement Activities40
Cost65.72

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.

Occupational Therapy Assistant
1215 E COURT ST
SEGUIN, TX 78155
Physician Assistant
1215 E COURT ST
SEGUIN, TX 78155
Nurse Practitioner
1215 E COURT ST
SEGUIN, TX 78155
Pharmacy (Institutional Pharmacy)
1215 E COURT ST
SEGUIN, TX 78155
Nurse Practitioner (Acute Care)
1215 E COURT ST
SEGUIN, TX 78155
Pharmacist
1215 E COURT ST
SEGUIN, TX 78155
Nurse Practitioner (Acute Care)
1215 E COURT ST
SEGUIN, TX 78155
Emergency Medicine (Emergency Medical Services)
1215 E COURT ST
SEGUIN, TX 78155

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 Melanie Smith's NPI number?

The NPI number for Melanie Smith is 1669102208. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Melanie Smith located?

Melanie Smith practices at 1215 E Court St, Seguin, TX 78155. The listed phone number is (830) 379-2411.

What is Melanie Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Melanie Smith enrolled in Medicare?

Yes. Melanie Smith is registered in the Medicare PECOS enrollment system.

What insurance does Melanie Smith accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Melanie Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Melanie Smith affiliated with any hospitals?

According to CMS data, Melanie Smith is affiliated with Guadalupe Regional Medical Center and Resolute Health Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Smith was last updated on January 20, 2023. 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.