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MS. MELISSA N. SHOTKOSKI TUFFORD CRNA
NPI 1861457269
Nurse Anesthetist, Certified Registered in Lexington, NE

Active since April 19, 2006Accepts Medicare Assignment
85.83/100
CMS Quality Rating
1201 N ERIE ST, LEXINGTON, NE 68850(308) 324-5651(308) 324-8359 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Melissa N. Shotkoski Tufford Crna NPPES

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

MS. MELISSA N. SHOTKOSKI TUFFORD CRNA (NPI 1861457269) is an individual nurse anesthetist, certified registered in Lexington, Nebraska, licensed in Nebraska (100954) and active in the NPI registry since April 2006. She is affiliated with Grand Island Regional Medical Center and is a graduate of Other (2005).

NPPES Registry Identity

NPI1861457269
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. MELISSA N. SHOTKOSKI TUFFORDCredential: CRNA
Location Address1201 N ERIE STLexington, NE 68850-1571
Mailing AddressPo Box 980Lexington, NE 68850-0980 · (308) 324-5651 · Fax (308) 324-8359
Phone(308) 324-5651
Fax(308) 324-8359
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 19, 2006
Last NPPES UpdateApril 18, 2023
NPPES CertifiedApril 18, 2023
✔ NPI 1861457269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NE · 100954
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1201 N ERIE ST, Lexington, NE 68850
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Other Names 1

Former Name (1)Melissa Nicole Shotkoski Crna

Other Identifiers 1

Medicaid47061979815NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Melissa N. Shotkoski Tufford Crna 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 ID9133136898
PECOS Enrollment IDI20060321000552

Medicare Billing Reassignments

7

Medicare enrollment records show Melissa Tufford reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lexington Regional Health Center
Same address
Emergency Medicine
1201 N ERIE ST
Lexington, NE 68850
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1467417352 (Nebraska)
  • 69 clinicians in this Medicare group
NPI 1316016165 (308) 324-5651
Phelps Memorial Health Center
31 mi
Nurse Anesthetist, Certified Registered
1215 TIBBALS ST
Holdrege, NE 68949
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1629035936 (Nebraska)
  • 77 clinicians in this Medicare group
NPI 1871528851 (308) 995-2211
Kearney Urology Center P.C.
36 mi
Urology
123 W 31ST ST
Kearney, NE 68847
  • Reassigned Medicare billing, Nebraska enrollment
  • 8 clinicians in this Medicare group
NPI 1710087036 (308) 237-7719
Kearney Anesthesia Associates PC
36 mi
Nurse Anesthetist, Certified Registered
115 E 52ND ST
Kearney, NE 68847
  • Reassigned Medicare billing, Nebraska enrollment
  • 36 clinicians in this Medicare group
NPI 1578593752 (308) 236-5506
North Platte Surgery Center Anesthesia, LLC
58 mi
Anesthesiology
621 W FRANCIS ST
North Platte, NE 69101
  • Reassigned Medicare billing, Nebraska enrollment
  • 51 clinicians in this Medicare group
NPI 1780869222 (308) 534-8800
Grand Island Regional Medical Center
73 mi
Emergency Medicine
3533 PRAIRIEVIEW ST
Grand Island, NE 68803
  • Reassigned Medicare billing, Nebraska enrollment
  • 75 clinicians in this Medicare group
NPI 1225658495 (308) 675-5000
Associated Anesthesiologists PC
164 mi
Anesthesiology
2900 S 70TH ST STE 250
Lincoln, NE 68506
  • Reassigned Medicare billing, Nebraska enrollment
  • 126 clinicians in this Medicare group
NPI 1972674604 (402) 489-4186

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

Hospital Affiliations CMS Care Compare

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

Grand Island Regional Medical Center

Acute Care Hospitals · Grand Island, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280139
Location3533 Prairieview StreetGrand Island, NE 68803 · Hall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68850 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

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.

85.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.33
Improvement Activities40

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.

TRACY J WEILAND LCSW
Counselor (Mental Health)
1201 N ERIE ST
LEXINGTON, NE 68850
Dawson County (308) 324-5651
STEPHANIE L REUTLINGER APRN
Nurse Practitioner
1201 N ERIE ST
LEXINGTON, NE 68850
Dawson County (308) 324-5651
LEXINGTON REGIONAL HEALTH CENTER
Family Medicine
1201 N ERIE ST
LEXINGTON, NE 68850
Dawson County (308) 324-5651
TRAVIS L BARKMEIER APRN
Nurse Practitioner
1201 N ERIE ST
LEXINGTON, NE 68850
Dawson County (308) 324-5651
KAITLYN M LEMMER APRN
Nurse Practitioner
1201 N ERIE ST
LEXINGTON, NE 68850
Dawson County (308) 324-5651
RAIME L MISKO APRN
Nurse Practitioner (Family)
1201 N ERIE ST
LEXINGTON, NE 68850
Dawson County (308) 324-5651
REBECCA A GILL M.D.
Surgery
1201 N ERIE ST
LEXINGTON, NE 68850
Dawson County (308) 324-5651
BARBARA J FOSS APRN
Nurse Practitioner (Family)
1201 N ERIE ST
LEXINGTON, NE 68850
Dawson County (308) 324-5651

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 Tufford's NPI number?

The NPI number for Melissa Tufford is 1861457269. It was assigned to this individual provider in the NPPES registry on April 19, 2006. The provider is also known as Melissa Nicole Shotkoski Crna.

Where is Melissa Tufford located?

Melissa Tufford practices at 1201 N Erie St, Lexington, NE 68850. The listed phone number is (308) 324-5651.

What is Melissa Tufford's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Melissa Tufford enrolled in Medicare?

Yes. Melissa Tufford 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.

Which organizations bill Medicare for Melissa Tufford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Tufford reassigns Medicare benefits to 7 organizations: Lexington Regional Health Center (Lexington, NE), Phelps Memorial Health Center (Holdrege, NE), Kearney Urology Center P.C. (Kearney, NE), Kearney Anesthesia Associates PC (Kearney, NE), North Platte Surgery Center Anesthesia, LLC (North Platte, NE) and 2 more organizations, listed in the Medicare section above. Each 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 Melissa Tufford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Tufford accept?

Health plans from Oscar Insurance Company list Melissa Tufford 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 Tufford affiliated with any hospitals?

According to CMS data, Melissa Tufford is affiliated with Grand Island Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Melissa Tufford was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.