MELLISA JANE LEE FREE-STOUDER NP
NPI 1861042707
Nurse Practitioner - Family in La Grande, OR

Active since September 12, 2019PECOS EnrolledAccepts Medicare Assignment
71.93/100
CMS Quality Rating
STUDENT HEALTH CENTER, ONE UNIVERSITY BLVD., LA GRANDE, OR 97850(541) 962-3524(541) 962-3825 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2020, Sep 12, 2019 (2 updates tracked since 2019).

About Mellisa Jane Lee Free-stouder Np NPPES

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

MELLISA JANE LEE FREE-STOUDER NP (NPI 1861042707) is an individual family provider in La Grande, Oregon, licensed in Oregon (201907957NP-PP) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2019).

NPPES Registry Identity

NPI1861042707
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELLISA JANE LEE FREE-STOUDERCredential: NP
Location AddressSTUDENT HEALTH CENTER, ONE UNIVERSITY BLVD.La Grande, OR 97850
Mailing Address2104 1st StLa Grande, OR 97850-1703 · (541) 805-1020
Fax(541) 962-3825
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2019
Enumeration DateSeptember 12, 2019
Last NPPES UpdateMarch 30, 20202 updates tracked since enumeration
NPPES CertifiedMarch 30, 2020
NPI 1861042707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 201907957NP-PP
STUDENT HEALTH CENTER, La Grande, OR 97850

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

Mellisa Jane Lee Free-stouder Np 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 ID4183056914
PECOS Enrollment IDI20250924000492
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97850 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

71.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.53
Promoting Interoperability100
Improvement Activities40
Cost10

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 Mellisa Free-stouder's NPI number?

The NPI number for Mellisa Free-stouder is 1861042707. It was assigned to this individual provider in the NPPES registry on September 12, 2019.

Where is Mellisa Free-stouder located?

Mellisa Free-stouder practices at Student Health Center One University Blvd., La Grande, OR 97850. The listed phone number is (541) 962-3524.

What is Mellisa Free-stouder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mellisa Free-stouder enrolled in Medicare?

Yes. Mellisa Free-stouder 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 Mellisa Free-stouder accept?

Health plans from Moda Health Plan, Inc. list Mellisa Free-stouder 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 Mellisa Free-stouder was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.