MELISSA ABRAHAM NP-C
NPI 1902027436
Nurse Practitioner in Helena, MT

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
81.43/100
CMS Quality Rating
3330 PTARMIGAN LN, HELENA, MT 59602(406) 495-7901 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 29, 2020, Jun 26, 2020 (2 updates tracked since 2020).

About Melissa Abraham Np-c NPPES

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

MELISSA ABRAHAM NP-C (NPI 1902027436) is an individual nurse practitioner in Helena, Montana, licensed in Montana (159922) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with St Peters Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1902027436
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELISSA ABRAHAMCredential: NP-C
Location Address3330 PTARMIGAN LNHelena, MT 59602-0521
Mailing AddressPo Box 6369Helena, MT 59604-6369 · (406) 447-2823
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 1, 2007
Last NPPES UpdateJune 29, 20202 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
NPI 1902027436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MT · 159922
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3330 PTARMIGAN LN, Helena, MT 59602

Other Names 1

Former Name (1)Melissa Bowman

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

Melissa Abraham Np-c 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 ID4082030374
PECOS Enrollment IDI20200818000301
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.

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.
382 services363 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.
87 services86 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
34 services34 patients
Removal of impacted ear wax by washing 69209
Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.
18 services18 patients
Administration of vaccine 90471
Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Peters Health

Acute Care Hospitals · Helena, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270003
Location2475 BroadwayHelena, MT 59601 · Lewis And Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59602 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

81.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.22
Promoting Interoperability100
Improvement Activities40
Cost64.88

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.

Physician Assistant (Medical)
3330 PTARMIGAN LN
HELENA, MT 59602
Nurse Practitioner (Family)
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Internal Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Internal Medicine (Gastroenterology)
3330 PTARMIGAN LN
HELENA, MT 59602
Social Worker (Clinical)
3330 PTARMIGAN LN
HELENA, MT 59602

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 Abraham's NPI number?

The NPI number for Melissa Abraham is 1902027436. It was assigned to this individual provider in the NPPES registry on May 1, 2007. The provider is also known as Melissa Bowman.

Where is Melissa Abraham located?

Melissa Abraham practices at 3330 Ptarmigan Ln, Helena, MT 59602. The listed phone number is (406) 495-7901.

What is Melissa Abraham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melissa Abraham enrolled in Medicare?

Yes. Melissa Abraham 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 Abraham accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Melissa Abraham 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 Abraham affiliated with any hospitals?

According to CMS data, Melissa Abraham is affiliated with St Peters Health.

When was this NPI record last updated?

The NPPES record for Melissa Abraham was last updated on June 29, 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.