MRS. MELANIE SANTOS ZAVALA WHNP-BC
NPI 1699444224
Nurse Practitioner - Obstetrics & Gynecology in Millburn, NJ

Active since September 08, 2021PECOS EnrolledAccepts Medicare Assignment
241 MILLBURN AVE, MILLBURN, NJ 07041(862) 289-6590 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2025, Dec 19, 2022, Sep 8, 2021 (3 updates tracked since 2021).

About Mrs. Melanie Santos Zavala Whnp-bc NPPES

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

MRS. MELANIE SANTOS ZAVALA WHNP-BC (NPI 1699444224) is an individual obstetrics & gynecology provider in Millburn, New Jersey, licensed in New Jersey (26NJ01459600) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Florham Park, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699444224
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameMRS. MELANIE SANTOS ZAVALACredential: WHNP-BC
Location Address241 MILLBURN AVEMillburn, NJ 07041-1739
Mailing Address46 2nd AveGarwood, NJ 07027-1125 · (908) 967-4809
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 8, 2021
Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1699444224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in NJ · 26NJ01459600
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 421505 (NY), 26NJ01459600 (NJ)
241 MILLBURN AVE, Millburn, NJ 07041

Secondary Practice Location 1

Location 1131 Columbia Tpke Ste 1Florham Park, NJ 07932-2181 · Phone (973) 949-1286

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Melanie Santos Zavala Whnp-bc 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 ID4688036098
PECOS Enrollment IDI20230817000668
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Melanie Zavala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Service
241 MILLBURN AVE
Millburn, NJ 07041
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Hermd Medical Services Nj PC
  • 5 clinicians in this Medicare group
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07041 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 5

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

Clinic/Center (Health Service)
241 MILLBURN AVE
MILLBURN, NJ 07041
Pediatrics
241 MILLBURN AVE, SUITE B
MILLBURN, NJ 07041
Clinic/Center (Primary Care)
241 MILLBURN AVE, SUITE B
MILLBURN, NJ 07041
Dentist (Orthodontics and Dentofacial Orthopedics)
241 MILLBURN AVE
MILLBURN, NJ 07041
Dentist (Orthodontics and Dentofacial Orthopedics)
241 MILLBURN AVE
MILLBURN, NJ 07041

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 Zavala's NPI number?

The NPI number for Melanie Zavala is 1699444224. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Where is Melanie Zavala located?

Melanie Zavala practices at 241 Millburn Ave, Millburn, NJ 07041. The listed phone number is (862) 289-6590.

What is Melanie Zavala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Melanie Zavala enrolled in Medicare?

Yes. Melanie Zavala 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.

Which organizations bill Medicare for Melanie Zavala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Zavala reassigns Medicare benefits to 2 organizations: Hermd Medical Services Nj, P.C. (Millburn, NJ) and Advocare, LLC (Marlton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melanie Zavala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Zavala accept?

Health plans from Oscar Health list Melanie Zavala 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 Zavala was last updated on September 19, 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.