MRS. MELISSA LYNN FANNON-WISNER CRNP
NPI 1891245981
Nurse Practitioner - Family in Winchester, VA

Q: What is Melissa Fannon-wisner's NPI number?

The NPI number for Melissa Fannon-wisner is 1891245981. It was assigned to this individual provider in the NPPES registry on October 12, 2016. The provider is also known as Miss Melissa Lynn Fannon Crnp.

Q: What is Melissa Fannon-wisner's specialty?

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

Active since October 12, 2016PECOS Enrolled

190 CAMPUS BLVD STE 400, WINCHESTER, VA 22601(540) 667-1727(540) 722-3373 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2026, Jun 23, 2025, Sep 6, 2022 and 9 more (12 updates tracked since 2016).

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About Mrs. Melissa Lynn Fannon-wisner Crnp NPPES

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

MRS. MELISSA LYNN FANNON-WISNER CRNP (NPI 1891245981) is an individual family provider in Winchester, Virginia, licensed in West Virginia (105608) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1891245981

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MELISSA LYNN FANNON-WISNERCredential: CRNP

Location Address190 CAMPUS BLVD STE 400Winchester, VA 22601-2872

Mailing Address190 Campus Blvd Ste 400Winchester, VA 22601-2872 · (540) 667-1727 · Fax (540) 722-3373

Phone(540) 667-1727

Fax(540) 722-3373

Sole ProprietorNo

Enumeration DateOctober 12, 2016

Last NPPES UpdateFebruary 5, 202612 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2026

✔ NPI 1891245981 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

Licenses✔ Licensed in WV · 105608✔ Licensed in MD · AC003394✔ Licensed in PA · SP016840✔ Licensed in VA · 0024185033

190 CAMPUS BLVD STE 400, Winchester, VA 22601

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Other Names 1

Former Name (1)Miss Melissa Lynn Fannon Crnp

Secondary Practice Locations 3

Location 119820 Century BlvdGermantown, MD 20874-1198 · Phone (301) 528-5437

Location 219800 Belmont Chase Dr Ste 110Ashburn, VA 20147-3416 · Phone (703) 723-6767

Location 312254 Rockville PikeRockville, MD 20852-1608 · Phone (301) 230-2767

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Melissa Lynn Fannon-wisner Crnp 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 Melissa Fannon-wisner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Mountain Health Physicians, Inc.

14 mi

Rural Health

4803 GERRARDSTOWN RD
Inwood, WV 25428

Reassigned Medicare billing, West Virginia enrollment
135 clinicians in this Medicare group

NPI 1033681150 (304) 821-9011

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 22601 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 5

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

MRS. JACQUELINE FAITH SHROADES CFNP

Nurse Practitioner (Family)