MELANIE J SHMOIS MSSA
NPI 1851499073
Social Worker - Clinical in Avon Lake, OH

Active since September 20, 2006PECOS Enrolled
223 MILLER RD, AVON LAKE, OH 44012(440) 930-2002 Get Directions Write a Review

NPPES record last updated: June 25, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melanie J Shmois Mssa NPPES

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

MELANIE J SHMOIS MSSA (NPI 1851499073) is an individual clinical provider in Avon Lake, Ohio, licensed in Ohio (I9665) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851499073
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELANIE J SHMOISCredential: MSSA
Location Address223 MILLER RDAvon Lake, OH 44012-1004
Mailing Address223 Miller RdAvon Lake, OH 44012-1004 · (216) 225-8602
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJune 25, 2012
✔ NPI 1851499073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I9665
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
223 MILLER RD, Avon Lake, OH 44012

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melanie J Shmois Mssa 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 Melanie Shmois reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Ohio enrollment
  • 313 clinicians in this Medicare group

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 44012 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
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 14

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

Social Worker (Clinical)
223 MILLER RD
AVON LAKE, OH 44012
Nurse Practitioner (Psychiatric/Mental Health)
223 MILLER RD
AVON LAKE, OH 44012
Social Worker (Clinical)
223 MILLER RD
AVON LAKE, OH 44012
Social Worker (Clinical)
223 MILLER RD
AVON LAKE, OH 44012
Psychiatry & Neurology (Psychiatry)
223 MILLER RD
AVON LAKE, OH 44012
Counselor (Mental Health)
223 MILLER RD, AVON LAKE
AVON LAKE, OH 44012
Counselor (Professional)
223 MILLER RD
AVON LAKE, OH 44012
Counselor (Professional)
223 MILLER RD
AVON LAKE, OH 44012

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 Melanie Shmois's NPI number?

The NPI number for Melanie Shmois is 1851499073. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Melanie Shmois located?

Melanie Shmois practices at 223 Miller Rd, Avon Lake, OH 44012. The listed phone number is (440) 930-2002.

What is Melanie Shmois's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Melanie Shmois enrolled in Medicare?

Yes. Melanie Shmois is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melanie Shmois's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Shmois reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melanie Shmois's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Shmois accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Melanie Shmois 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.

When was this NPI record last updated?

The NPPES record for Melanie Shmois was last updated on June 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.