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MELANIE MARIE HALKER
NPI 1679134092
Nurse Practitioner - Family in Van Wert, OH

Active since June 26, 2019PECOS Enrolled
73.63/100
CMS Quality Rating
1250 S WASHINGTON ST, VAN WERT, OH 45891(419) 238-2390 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melanie Marie Halker NPPES

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

MELANIE MARIE HALKER (NPI 1679134092) is an individual family provider in Van Wert, Ohio, licensed in Ohio (APRN.CNP.025113) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679134092
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELANIE MARIE HALKER
Location Address1250 S WASHINGTON STVan Wert, OH 45891-2551
Mailing Address804 Sunny Day DrColumbus Grove, OH 45830-1064 · (419) 233-0760
Phone(419) 238-2390
Sole ProprietorNo
Enumeration DateJune 26, 2019
Last NPPES UpdateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1679134092 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 OH · APRN.CNP.025113
1250 S WASHINGTON ST, Van Wert, OH 45891
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.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 Marie Halker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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 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.
630 services275 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.
95 services95 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.
91 services82 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45891 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

73.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.46
Improvement Activities40
Cost30.88

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.

THE VAN WERT COUNTY HOSPITAL ASSOCIATION
Clinical Medical Laboratory
1250 S WASHINGTON ST
VAN WERT, OH 45891
Van Wert County (419) 238-2390
GEORGE LAYTON TRIMBLE M.D.
Hospitalist
1250 S WASHINGTON ST
VAN WERT, OH 45891
Van Wert County (419) 238-2390
HEATHER NICHOLE LEE CNP
Nurse Practitioner
1250 S WASHINGTON ST
VAN WERT, OH 45891
Van Wert County (419) 238-2390
PHOENIX EMERGENCY PHYSICIANS OF THE MIDWEST LLC
Emergency Medicine
1250 S WASHINGTON ST, STE 1600
VAN WERT, OH 45891
Van Wert County (469) 401-2386
ALLIED PHYSICIANS INC., D/B/A FORT WAYNE NEUROSURGERY
Neurological Surgery
1250 S WASHINGTON ST
VAN WERT, OH 45891
Van Wert County (800) 686-3963
MR. ADAM BOWDEN M.P.T.
Physical Therapist
1250 S WASHINGTON ST
VAN WERT, OH 45891
Van Wert County (419) 238-8626
DR. JU GAO M.D.
Pain Medicine (Pain Medicine)
1250 S WASHINGTON ST
VAN WERT, OH 45891
Van Wert County (616) 285-1377
RENEE JACQUEMIN
Pharmacist
1250 S WASHINGTON ST, PHARMACY DEPT
VAN WERT, OH 45891
Van Wert County (419) 238-8625

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 Halker's NPI number?

The NPI number for Melanie Halker is 1679134092. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Melanie Halker located?

Melanie Halker practices at 1250 S Washington St, Van Wert, OH 45891. The listed phone number is (419) 238-2390.

What is Melanie Halker's specialty?

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

Is Melanie Halker enrolled in Medicare?

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

What insurance does Melanie Halker accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Melanie Halker 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.

When was this NPI record last updated?

The NPPES record for Melanie Halker was last updated on January 2, 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.