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MRS. MELISSA ANN MCGUIRE NP
NPI 1881369460
Nurse Practitioner - Family in Marion, OH

Active since August 16, 2021PECOS EnrolledAccepts Medicare Assignment
1069 DELAWARE AVE STE 205A, MARION, OH 43302(740) 387-4578 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Melissa Ann Mcguire Np NPPES

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

MRS. MELISSA ANN MCGUIRE NP (NPI 1881369460) is an individual family provider in Marion, Ohio, licensed in Ohio (APRN.CNP.0029467) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881369460
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MELISSA ANN MCGUIRECredential: NP
Location Address1069 DELAWARE AVE STE 205AMarion, OH 43302-6288
Mailing Address2254 Dixon StDelaware, OH 43015-3386 · (740) 360-5649
Phone(740) 387-4578
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1881369460 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 OH · APRN.CNP.0029467
1069 DELAWARE AVE STE 205A, Marion, OH 43302
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mrs. Melissa Ann Mcguire 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 ID5395143408
PECOS Enrollment IDI20211004002560
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services80 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Mcguire's NPI number?

The NPI number for Melissa Mcguire is 1881369460. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Melissa Mcguire located?

Melissa Mcguire practices at 1069 Delaware Ave Ste 205A, Marion, OH 43302. The listed phone number is (740) 387-4578.

What is Melissa Mcguire's specialty?

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

Is Melissa Mcguire enrolled in Medicare?

Yes. Melissa Mcguire 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 Melissa Mcguire accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Melissa Mcguire 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 Mcguire affiliated with any hospitals?

According to CMS data, Melissa Mcguire is affiliated with Marion General Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Mcguire was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.