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APRIL M MELVIN APRN, FNP-BC
NPI 1770214934
Nurse Practitioner - Family in Ashland, KY

Active since June 20, 2022PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
617 23RD ST STE 3, ASHLAND, KY 41101(606) 408-0842(606) 408-6073 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 28, 2023, Dec 13, 2022 (2 updates tracked since 2022).

About April M Melvin Aprn, Fnp-bc NPPES

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

APRIL M MELVIN APRN, FNP-BC (NPI 1770214934) is an individual family provider in Ashland, Kentucky, licensed in Kentucky (3017896) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1770214934
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAPRIL M MELVINCredential: APRN, FNP-BC
Location Address617 23RD ST STE 3Ashland, KY 41101-2845
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-4000 · Fax (606) 408-6612
Phone(606) 408-0842
Fax(606) 408-6073
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 20, 2022
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1770214934 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 KY · 3017896
617 23RD ST STE 3, Ashland, KY 41101
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare.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

April M Melvin Aprn, Fnp-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 ID9537539101
PECOS Enrollment IDI20221227000194
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 Reassignment

Medicare enrollment records show April Melvin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

King's Daughters Medical Specialties, Inc.
Same address
Obstetrics & Gynecology
617 23RD ST STE 415
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Kings Daughters Medical Specialties Inc
  • 531 clinicians in this Medicare group
NPI 1174287270 (606) 325-6888

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 services84 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.
36 services36 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.
29 services26 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Other Providers at the Same Location NPPES

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

JASYN BLANKENSHIP DO
Internal Medicine (Cardiovascular Disease)
617 23RD ST STE 3
ASHLAND, KY 41101
Boyd County (606) 408-0842

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 April Melvin's NPI number?

The NPI number for April Melvin is 1770214934. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is April Melvin located?

April Melvin practices at 617 23rd St Ste 3, Ashland, KY 41101. The listed phone number is (606) 408-0842.

What is April Melvin's specialty?

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

Is April Melvin enrolled in Medicare?

Yes. April Melvin 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 organization bills Medicare for April Melvin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), April Melvin reassigns Medicare benefits to King's Daughters Medical Specialties, Inc. (Ashland, KY). The 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 April Melvin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does April Melvin accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list April Melvin 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 April Melvin affiliated with any hospitals?

According to CMS data, April Melvin is affiliated with King's Daughters' Medical Center and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for April Melvin was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.