SAM ANTHONY MELTON PMHNP
NPI 1841519626
Nurse Practitioner - Psychiatric/Mental Health in Thornton, CO

Q: What is Sam Melton's NPI number?

The NPI number for Sam Melton is 1841519626. It was assigned to this individual provider in the NPPES registry on May 19, 2010.

Q: What is Sam Melton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Sam Melton was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since May 19, 2010PECOS EnrolledAccepts Medicare Assignment

55.2/100

CMS Quality Rating

501 THORNTON PKWY, THORNTON, CO 80229(303) 452-6101 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sam Anthony Melton Pmhnp NPPES

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

SAM ANTHONY MELTON PMHNP (NPI 1841519626) is an individual psychiatric/mental health provider in Thornton, Colorado, licensed in Colorado (APN.0995615-NP) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1841519626

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameSAM ANTHONY MELTONCredential: PMHNP

Location Address501 THORNTON PKWYThornton, CO 80229-2101

Mailing Address1727 S Gilpin StDenver, CO 80210-3343

Phone(303) 452-6101

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateMay 19, 2010

Last NPPES UpdateNovember 27, 2023

NPPES CertifiedNovember 27, 2023

✔ NPI 1841519626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CO · APN.0995615-NP

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

501 THORNTON PKWY, Thornton, CO 80229

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Secondary Practice Locations 2

Location 11727 S Gilpin StDenver, CO 80210-3343 · Phone (828) 284-2831

Location 2501 S Cherry St Ste 820Denver, CO 80246-1325 · Phone (702) 790-3315 · Fax (702) 589-4872

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Sam Anthony Melton Pmhnp 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 ID6103223201

PECOS Enrollment IDI20210915003942

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 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

633 services124 patients

Telephone or internet referral service, 30 minutes 99452

A telephone or internet referral service involves a 30-minute session where you can discuss your health concerns with a healthcare professional. They will listen to your symptoms, answer your questions, and guide you to the appropriate specialist or service for further assistance. This service is safe, confidential, and convenient.

577 services130 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

474 services386 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

204 services67 patients

Psychiatric services complicated by communication factor 90785

Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.

72 services12 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

35 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80229 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

55.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

27.71

Promoting Interoperability

Improvement Activities

Cost

38.79

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Other Providers at the Same Location NPPES 11

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

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