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MELISSA ROMULUS PAULINE AGPCNP-C
NPI 1770959660
Nurse Practitioner in Buford, GA

Active since August 14, 2015PECOS EnrolledAccepts Medicare Assignment
91.6/100
CMS Quality Rating
2675 MALL OF GEORGIA BLVD STE 103, BUFORD, GA 30519(678) 979-3905 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melissa Romulus Pauline Agpcnp-c NPPES

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

MELISSA ROMULUS PAULINE AGPCNP-C (NPI 1770959660) is an individual nurse practitioner in Buford, Georgia, licensed in Georgia (RN176139) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1770959660
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELISSA ROMULUS PAULINECredential: AGPCNP-C
Location Address2675 MALL OF GEORGIA BLVD STE 103Buford, GA 30519-8783
Mailing Address2675 Mall Of Georgia Blvd Ste 103Buford, GA 30519-8783 · (678) 804-4297 · Fax (877) 710-8904
Phone(678) 979-3905
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 14, 2015
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1770959660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN176139
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2675 MALL OF GEORGIA BLVD STE 103, Buford, GA 30519
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Melissa Romulus Pauline Agpcnp-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 ID244549277
PECOS Enrollment IDI20151014001518
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 2

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.

Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
47 services24 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services23 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30519 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

91.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.42
Promoting Interoperability100
Improvement Activities40
Cost73

Other Providers at the Same Location NPPES 2

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

NOUVEAUX U WELLNESS PROFESSIONAL CORPORATION
Nurse Practitioner
2675 MALL OF GEORGIA BLVD STE 103
BUFORD, GA 30519
Gwinnett County (678) 979-3905
NOUVEAUX U BEHAVIORAL HEALTH PROFESSIONAL CORPORATION
Nurse Practitioner (Psychiatric/Mental Health)
2675 MALL OF GEORGIA BLVD STE 103
BUFORD, GA 30519
Gwinnett County (678) 979-3905

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 Pauline's NPI number?

The NPI number for Melissa Pauline is 1770959660. It was assigned to this individual provider in the NPPES registry on August 14, 2015.

Where is Melissa Pauline located?

Melissa Pauline practices at 2675 Mall Of Georgia Blvd Ste 103, Buford, GA 30519. The listed phone number is (678) 979-3905.

What is Melissa Pauline's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melissa Pauline enrolled in Medicare?

Yes. Melissa Pauline 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.

What insurance does Melissa Pauline accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Melissa Pauline 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 Melissa Pauline affiliated with any hospitals?

According to CMS data, Melissa Pauline is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Pauline was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.