MELISSA ELAINE RAFFAELE FNP-BC
NPI 1962727081
Nurse Practitioner - Family in Altoona, PA

Q: What is Melissa Raffaele's NPI number?

The NPI number for Melissa Raffaele is 1962727081. It was assigned to this individual provider in the NPPES registry on March 31, 2010.

Q: What is Melissa Raffaele's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Raffaele was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 31, 2010PECOS EnrolledAccepts Medicare Assignment

1414 N 9TH AVE, ALTOONA, PA 16601(814) 946-1655 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2023, Jan 19, 2021, Jan 7, 2019 (3 updates tracked since 2019).

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About Melissa Elaine Raffaele Fnp-bc NPPES

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

MELISSA ELAINE RAFFAELE FNP-BC (NPI 1962727081) is an individual family provider in Altoona, Pennsylvania, licensed in Pennsylvania (SP028345) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1962727081

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELISSA ELAINE RAFFAELECredential: FNP-BC

Location Address1414 N 9TH AVEAltoona, PA 16601-6326

Mailing Address1414 N 9th AveAltoona, PA 16601-6326 · (814) 946-1655

Phone(814) 946-1655

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 31, 2010

Last NPPES UpdateNovember 10, 20233 updates tracked since enumeration

NPPES CertifiedNovember 10, 2023

✔ NPI 1962727081 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 PA · SP028345✔ Licensed in DE · G-0000522

1414 N 9TH AVE, Altoona, PA 16601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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 Elaine Raffaele Fnp-bc 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 ID7911199252

PECOS Enrollment IDI20231215001577

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.

214 services160 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.

159 services104 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

150 services98 patients

Hospital Affiliations CMS Care Compare 5

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

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390056

Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County

Emergency services

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390062

Location105 Nason DriveRoaring Spring, PA 16673 · Blair County

Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390073

Location620 Howard AvenueAltoona, PA 16601 · Blair County

Emergency services Birthing friendly

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390110

Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County

Emergency services Birthing friendly

Penn Highlands Tyrone

Critical Access Hospitals · Tyrone, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number391307

Location187 Hospital DriveTyrone, PA 16686 · Blair County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16601 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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

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

BRIANA MARIE SHABLE

Physician Assistant

1414 N 9TH AVE
ALTOONA, PA 16601

Blair County (814) 934-3566

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 Raffaele's NPI number?

The NPI number for Melissa Raffaele is 1962727081. It was assigned to this individual provider in the NPPES registry on March 31, 2010.

Where is Melissa Raffaele located?

Melissa Raffaele practices at 1414 N 9th Ave, Altoona, PA 16601. The listed phone number is (814) 946-1655.

What is Melissa Raffaele's specialty?

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

Is Melissa Raffaele enrolled in Medicare?

Yes. Melissa Raffaele 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 Raffaele accept?

Health plans from AmeriHealth Caritas Next list Melissa Raffaele 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 Raffaele affiliated with any hospitals?

According to CMS data, Melissa Raffaele is affiliated with Penn Highlands Huntingdon, Conemaugh Nason Medical Center, Upmc Altoona, Conemaugh Memorial Medical Center and Penn Highlands Tyrone.

When was this NPI record last updated?

The NPPES record for Melissa Raffaele was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.