MELISSA MARIE FORMICA NP
NPI 1679299382
Nurse Practitioner - Acute Care in Folsom, CA

Active since October 13, 2022PECOS EnrolledAccepts Medicare Assignment
1730 PRAIRIE CITY RD STE 120, FOLSOM, CA 95630(916) 351-4800(916) 357-6194 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2025, Oct 13, 2022 (2 updates tracked since 2022).

About Melissa Marie Formica Np NPPES

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

MELISSA MARIE FORMICA NP (NPI 1679299382) is an individual acute care provider in Folsom, California, licensed in California (95022981) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679299382
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMELISSA MARIE FORMICACredential: NP
Location Address1730 PRAIRIE CITY RD STE 120Folsom, CA 95630-9594
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Fax(916) 357-6194
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 13, 2022
Last NPPES UpdateJune 26, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
NPI 1679299382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in CA · 95022981
1730 PRAIRIE CITY RD STE 120, Folsom, CA 95630

Other Names 1

Former Name (1)Melissa M Marquez-formica

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 Marie Formica Np 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 ID9830558410
PECOS Enrollment IDI20230629001426
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 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
184 services33 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.
125 services91 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
61 services41 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.
44 services40 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.
27 services27 patients
Computer-assisted surgery for muscle and bone procedure 20985
Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95630 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Other Providers at the Same Location NPPES 14

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

Anesthesiology
1730 PRAIRIE CITY RD STE 120
FOLSOM, CA 95630
Optometrist
1730 PRAIRIE CITY RD STE 120
FOLSOM, CA 95630
Internal Medicine (Rheumatology)
1730 PRAIRIE CITY RD STE 120
FOLSOM, CA 95630
Orthopaedic Surgery
1730 PRAIRIE CITY RD STE 120
FOLSOM, CA 95630
Obstetrics & Gynecology
1730 PRAIRIE CITY RD STE 120
FOLSOM, CA 95630
Internal Medicine (Cardiovascular Disease)
1730 PRAIRIE CITY RD STE 120
FOLSOM, CA 95630
Internal Medicine (Cardiovascular Disease)
1730 PRAIRIE CITY RD STE 120
FOLSOM, CA 95630
Marriage & Family Therapist
1730 PRAIRIE CITY RD STE 120
FOLSOM, CA 95630

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 Formica's NPI number?

The NPI number for Melissa Formica is 1679299382. It was assigned to this individual provider in the NPPES registry on October 13, 2022. The provider is also known as Melissa M Marquez-Formica.

Where is Melissa Formica located?

Melissa Formica practices at 1730 Prairie City Rd Ste 120, Folsom, CA 95630. The listed phone number is (916) 351-4800.

What is Melissa Formica's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Melissa Formica enrolled in Medicare?

Yes. Melissa Formica 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 Formica was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.