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MRS. SUZANNE MELLON N.P., R.N.
NPI 1780354134
Nurse Practitioner - Family in Modesto, CA

Active since September 16, 2021PECOS EnrolledAccepts Medicare Assignment
1524 MCHENRY AVE, SUITE 405, MODESTO, CA 95350(209) 575-5885 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Suzanne Mellon N.p., R.n. NPPES

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

MRS. SUZANNE MELLON N.P., R.N. (NPI 1780354134) is an individual family provider in Modesto, California, licensed in California (95014427) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1780354134
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SUZANNE MELLONCredential: N.P., R.N.
Location Address1524 MCHENRY AVE, SUITE 405Modesto, CA 95350
Mailing Address1524 Mchenry Ave, Suite 405Modesto, CA 95350
Phone(209) 575-5885
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 16, 2021
NPPES CertifiedSeptember 16, 2021
✔ NPI 1780354134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95014427
Also ListedRegistered NurseTaxonomy 163W00000X · License 766317 (CA)
1524 MCHENRY AVE, SUITE 405, Modesto, CA 95350
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Other Names 1

Former Name (1)Suzanne Lavesque

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. Suzanne Mellon N.p., R.n. 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 ID2769864479
PECOS Enrollment IDI20220727003459
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
20 services20 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.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Suzanne Mellon's NPI number?

The NPI number for Suzanne Mellon is 1780354134. It was assigned to this individual provider in the NPPES registry on September 16, 2021. The provider is also known as Suzanne Lavesque.

Where is Suzanne Mellon located?

Suzanne Mellon practices at 1524 Mchenry Ave, Suite 405, Modesto, CA 95350. The listed phone number is (209) 575-5885.

What is Suzanne Mellon's specialty?

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

Is Suzanne Mellon enrolled in Medicare?

Yes. Suzanne Mellon 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.

When was this NPI record last updated?

The NPPES record for Suzanne Mellon was last updated on September 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.