MELISSA LYNN HUDSPETH NP-C
NPI 1790457778
Nurse Practitioner in Green Bay, WI

Active since September 29, 2021PECOS EnrolledAccepts Medicare Assignment
1860 SHAWANO AVE, GREEN BAY, WI 54303(920) 496-4700 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2025, Sep 8, 2024, Sep 29, 2021 (3 updates tracked since 2021).

About Melissa Lynn Hudspeth Np-c NPPES

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

MELISSA LYNN HUDSPETH NP-C (NPI 1790457778) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Massachusetts (16565-33) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790457778
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELISSA LYNN HUDSPETHCredential: NP-C
Location Address1860 SHAWANO AVEGreen Bay, WI 54303-2667
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 29, 2021
Last NPPES UpdateJuly 10, 20253 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1790457778 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 MA · 16565-33
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.

1860 SHAWANO AVE, Green Bay, WI 54303

Other Identifiers 1

Medicaid100310059WI

Accepted 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 Lynn Hudspeth Np-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 ID3072903707
PECOS Enrollment IDI20211210002050, I20250515003243
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
148 services132 patients
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.
141 services130 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.
110 services108 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
85 services69 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
56 services47 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
46 services44 patients

Hospital Affiliations CMS Care Compare 3

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Obstetrics & Gynecology
1860 SHAWANO AVE
GREEN BAY, WI 54303
Audiologist
1860 SHAWANO AVE
GREEN BAY, WI 54303
Dental Hygienist
1860 SHAWANO AVE
GREEN BAY, WI 54303
Dietitian, Registered (Nutrition, Pediatric)
1860 SHAWANO AVE
GREEN BAY, WI 54303
Nurse Practitioner
1860 SHAWANO AVE
GREEN BAY, WI 54303
Advanced Practice Midwife
1860 SHAWANO AVE
GREEN BAY, WI 54303
Nurse Practitioner
1860 SHAWANO AVE
GREEN BAY, WI 54303
Audiologist
1860 SHAWANO AVE
GREEN BAY, WI 54303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790457778, enumerated as an "individual" on September 29, 2021.

The provider is located at 1860 SHAWANO AVE GREEN BAY, WI 54303 and the phone number is (920) 496-4700.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.

Melissa Hudspeth is affiliated with: SOUTHCOAST HOSPITALS GROUP, ST VINCENT HOSPITAL and ST MARY'S HOSPITAL MEDICAL CENTER.