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MELISSA WHITWORTH FNP
NPI 1871295188
Nurse Practitioner - Family in Belleville, IL

Active since March 20, 2023PECOS EnrolledAccepts Medicare Assignment
4500 MEMORIAL DR, BELLEVILLE, IL 62226(618) 233-7750 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2023, Mar 20, 2023 (2 updates tracked since 2023).

About Melissa Whitworth Fnp NPPES

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

MELISSA WHITWORTH FNP (NPI 1871295188) is an individual family provider in Belleville, Illinois, licensed in Illinois (209025373) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871295188
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA WHITWORTHCredential: FNP
Location Address4500 MEMORIAL DRBelleville, IL 62226-5360
Mailing Address4500 Memorial DrBelleville, IL 62226-5360 · (618) 233-7750
Phone(618) 233-7750
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 20, 2023
Last NPPES UpdateJuly 21, 20232 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
✔ NPI 1871295188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209025373
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209025373 (IL)
4500 MEMORIAL DR, Belleville, IL 62226
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12 Memorial Dr Ste 220Alton, IL 62002-6723 · Phone (314) 996-4545
Location 21935 Belt Way DrSaint Louis, MO 63114-5825 · Phone (314) 872-5050

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

Melissa Whitworth Fnp 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 ID9830543024
PECOS Enrollment IDI20230921001779
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 5

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
93 services81 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
74 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services33 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
25 services23 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

CEP AMERICA - ILLINOIS SNF, LLP
Internal Medicine (Infectious Disease)
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 233-7750
MS. LAUREN NICOLE MARSHALL FNP
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-5455
MR. LITO T RUFIN NP
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220
KIM C WRIGLEY P.A.
Physician Assistant
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220
BRIAN BENDEL
Nurse Anesthetist, Certified Registered
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (561) 623-2008
DR. PAUL D SANDER MD
Pain Medicine (Pain Medicine)
4500 MEMORIAL DR, ANESTHESIA DEPT
BELLEVILLE, IL 62226
St. Clair County (618) 257-4076
DR. NEIL MCCLYMONT D.O.
Emergency Medicine
4500 MEMORIAL DR, MEMORIAL HOSPITAL - ER
BELLEVILLE, IL 62226
St. Clair County (618) 233-7750
DR. VIBHU DHAWAN MD
Internal Medicine
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220

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 Whitworth's NPI number?

The NPI number for Melissa Whitworth is 1871295188. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Melissa Whitworth located?

Melissa Whitworth practices at 4500 Memorial Dr, Belleville, IL 62226. The listed phone number is (618) 233-7750.

What is Melissa Whitworth's specialty?

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

Is Melissa Whitworth enrolled in Medicare?

Yes. Melissa Whitworth 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.

Is Melissa Whitworth affiliated with any hospitals?

According to CMS data, Melissa Whitworth is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Whitworth was last updated on July 21, 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.