MRS. MELISSA L SHELDON FNP-C
NPI 1689223141
Nurse Practitioner - Family in Athens, TX

Q: What is Melissa Sheldon's NPI number?

The NPI number for Melissa Sheldon is 1689223141. It was assigned to this individual provider in the NPPES registry on September 8, 2019.

Q: What is Melissa Sheldon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Sheldon was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 08, 2019PECOS EnrolledAccepts Medicare Assignment

63.38/100

CMS Quality Rating

117 MEDICAL CIR, ATHENS, TX 75751(903) 676-3200(903) 676-3277 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2023, Mar 1, 2023, Jan 13, 2023 and 3 more (6 updates tracked since 2019).

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About Mrs. Melissa L Sheldon Fnp-c NPPES

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

MRS. MELISSA L SHELDON FNP-C (NPI 1689223141) is an individual family provider in Athens, Texas, licensed in Texas (1041220) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Athens Hospital, and maintains a secondary practice location in Gun Barrel City.

NPPES Registry Identity

NPI1689223141

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MELISSA L SHELDONCredential: FNP-C

Location Address117 MEDICAL CIRAthens, TX 75751-9003

Mailing Address117 Medical CirAthens, TX 75751-9003 · (903) 676-3200 · Fax (903) 676-3277

Phone(903) 676-3200

Fax(903) 676-3277

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 8, 2019

Last NPPES UpdateAugust 18, 20236 updates tracked since enumeration

NPPES CertifiedAugust 18, 2023

✔ NPI 1689223141 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 TX · 1041220

117 MEDICAL CIR, Athens, TX 75751

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Secondary Practice Location 1

Location 1170 Municipal DrGun Barrel City, TX 75156-3704 · Phone (903) 887-7992 · Fax (903) 887-7996

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mrs. Melissa L Sheldon Fnp-c 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 ID6901282235

PECOS Enrollment IDI20221010002414

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.

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.

83 services70 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.

50 services48 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

35 services28 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

22 services16 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

17 services15 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450389

Location2000 South Palestine StAthens, TX 75751 · Henderson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75751 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.

63.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.71

Promoting Interoperability

Improvement Activities

Cost

75.54

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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.

CHRISTIAN JOEL ZUNIGA D.O.

Family Medicine