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MELANIE P FITZSIMMONS MD
NPI 1700953015
Internal Medicine in Windham, ME

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
584 ROOSEVELT TRAIL, WINDHAM, ME 04062(207) 892-3233(207) 893-0752 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Melanie P Fitzsimmons Md NPPES

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

MELANIE P FITZSIMMONS MD (NPI 1700953015) is an individual internal medicine provider in Windham, Maine, licensed in Maine (MD17419) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of Wright State University Boonshoft School Of Medicine (2003).

NPPES Registry Identity

NPI1700953015
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMELANIE P FITZSIMMONSCredential: MD
Location Address584 ROOSEVELT TRAILWindham, ME 04062
Mailing Address301 Us Route 1Scarborough, ME 04074-7609 · (207) 396-8600 · Fax (207) 396-8632
Phone(207) 892-3233
Fax(207) 893-0752
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2003
Enumeration DateNovember 29, 2006
Last NPPES UpdateNovember 7, 2018
✔ NPI 1700953015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ME · MD17419
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License MD17419 (ME)
584 ROOSEVELT TRAIL, Windham, ME 04062
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Other Identifiers 2

Medicaid30207092NH
Medicaid532621199ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and more.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

Melanie P Fitzsimmons Md 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 ID1456452234
PECOS Enrollment IDI20070724000076
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 Fitzsimmons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maine Medical Partners
Same address
Family Medicine
584 ROOSEVELT TRL
Windham, ME 04062
NPI 1144245028 (207) 892-3233
Mainehealth
Same address
Internal Medicine
584 ROOSEVELT TRL
Windham, ME 04062
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1023321593 (207) 892-3233

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

Areas of Expertise CMS Part B claims 3

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.
99 services63 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
62 services62 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04062 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers18 claims45 services$6.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

DR. FRED E EMERSON MD
Internal Medicine
584 ROOSEVELT TRAIL
WINDHAM, ME 04062
Cumberland County (207) 892-3233

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 Fitzsimmons's NPI number?

The NPI number for Melanie Fitzsimmons is 1700953015. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Melanie Fitzsimmons located?

Melanie Fitzsimmons practices at 584 Roosevelt Trail, Windham, ME 04062. The listed phone number is (207) 892-3233.

What is Melanie Fitzsimmons's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Melanie Fitzsimmons enrolled in Medicare?

Yes. Melanie Fitzsimmons 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 Fitzsimmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Fitzsimmons reassigns Medicare benefits to 2 organizations: Maine Medical Partners (Windham, ME) and Mainehealth (Windham, ME). 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 Fitzsimmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Fitzsimmons accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Melanie Fitzsimmons 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 Fitzsimmons affiliated with any hospitals?

According to CMS data, Melanie Fitzsimmons is affiliated with Northern Light Health, Maine Medical Center and Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Fitzsimmons was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.