MRS. MELONIE M RICHARDSON NP
NPI 1811062623
Nurse Practitioner in Champaign, IL

Q: What is Melonie Richardson's NPI number?

The NPI number for Melonie Richardson is 1811062623. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Melonie Richardson's specialty?

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

Active since November 21, 2006PECOS Enrolled

819 BLOOMINGTON RD, CHAMPAIGN, IL 61820(217) 356-1558(217) 366-0160 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 14, 2023, Jan 21, 2021, Nov 25, 2015 (3 updates tracked since 2015).

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About Mrs. Melonie M Richardson Np NPPES

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

MRS. MELONIE M RICHARDSON NP (NPI 1811062623) is an individual nurse practitioner in Champaign, Illinois, licensed in Illinois (209004802) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811062623

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. MELONIE M RICHARDSONCredential: NP

Location Address819 BLOOMINGTON RDChampaign, IL 61820-2101

Mailing Address819 Bloomington RdChampaign, IL 61820-2101 · (217) 356-1558 · Fax (217) 366-0160

Phone(217) 356-1558

Fax(217) 366-0160

Sole ProprietorNo

Enumeration DateNovember 21, 2006

Last NPPES UpdateMarch 18, 20243 updates tracked since enumeration

NPPES CertifiedMarch 18, 2024

✔ NPI 1811062623 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 IL · 209004802

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.

819 BLOOMINGTON RD, Champaign, IL 61820

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Melonie M Richardson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Melonie Richardson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Promise Healthcare Nfp

Same address

Federally Qualified Health Center (FQHC)

819 BLOOMINGTON RD
Champaign, IL 61820

Reassigned Medicare billing, Illinois enrollment
48 clinicians in this Medicare group

NPI 1578821005 (217) 356-1558

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61820 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

JESSICA LYNN MANDRELL

Nurse Practitioner (Psychiatric/Mental Health)