MELISSA SUMNEY ACNP
NPI 1790874279
Nurse Practitioner - Critical Care Medicine in Washington, PA

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
400 LOCUST AVE, WASHINGTON, PA 15301(724) 222-2577(724) 228-5849 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2022, Jul 16, 2021, Jan 11, 2021 and 3 more (6 updates tracked since 2017).

About Melissa Sumney Acnp NPPES

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

MELISSA SUMNEY ACNP (NPI 1790874279) is an individual critical care medicine provider in Washington, Pennsylvania, licensed in Pennsylvania (SP009192) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Wheeling Hospital, Inc, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1790874279
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameMELISSA SUMNEYCredential: ACNP
Location Address400 LOCUST AVEWashington, PA 15301-3329
Mailing Address400 Locust AveWashington, PA 15301-3329 · (724) 222-2577 · Fax (724) 228-5849
Fax(724) 228-5849
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 12, 2006
Last NPPES UpdateApril 8, 20226 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
NPI 1790874279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License Licensed in PA · SP009192
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN95033 (WV), SP009192 (PA)
400 LOCUST AVE, Washington, PA 15301

Secondary Practice Location 1

Location 11200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1330 · Fax (304) 598-1609

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 Sumney Acnp 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 ID345247201
PECOS Enrollment IDI20161209000280
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

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, 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.
30 services24 patients

Hospital Affiliations CMS Care Compare

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

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15301 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%55 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner
400 LOCUST AVE
WASHINGTON, PA 15301
Counselor (Professional)
400 LOCUST AVE
WASHINGTON, PA 15301
Counselor (Mental Health)
400 LOCUST AVE
WASHINGTON, PA 15301
Family Medicine
400 LOCUST AVE
WASHINGTON, PA 15301
Urology
400 LOCUST AVE
WASHINGTON, PA 15301
Internal Medicine
400 LOCUST AVE
WASHINGTON, PA 15301
Nurse Practitioner
400 LOCUST AVE
WASHINGTON, PA 15301
Internal Medicine
400 LOCUST AVE
WASHINGTON, PA 15301

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 Sumney's NPI number?

The NPI number for Melissa Sumney is 1790874279. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Melissa Sumney located?

Melissa Sumney practices at 400 Locust Ave, Washington, PA 15301. The listed phone number is (724) 222-2577.

What is Melissa Sumney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Melissa Sumney enrolled in Medicare?

Yes. Melissa Sumney 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 Sumney accept?

Health plans from CareSource list Melissa Sumney 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 Sumney affiliated with any hospitals?

According to CMS data, Melissa Sumney is affiliated with Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Melissa Sumney was last updated on April 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.