MELANIE A WILHELM NP-C
NPI 1972066827
Nurse Practitioner - Family in Sarasota, FL

Q: What is Melanie Wilhelm's NPI number?

The NPI number for Melanie Wilhelm is 1972066827. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Q: What is Melanie Wilhelm'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 Melanie Wilhelm was last updated on September 29, 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.

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment

2901 S TAMIAMI TRL, SARASOTA, FL 34239(941) 364-4379 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2021, Jun 11, 2019, Apr 8, 2019 (3 updates tracked since 2019).

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About Melanie A Wilhelm Np-c NPPES

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

MELANIE A WILHELM NP-C (NPI 1972066827) is an individual family provider in Sarasota, Florida, licensed in Florida (11002077) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1972066827

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELANIE A WILHELMCredential: NP-C

Location Address2901 S TAMIAMI TRLSarasota, FL 34239-5106

Mailing Address2901 S Tamiami TrlSarasota, FL 34239-5106 · (941) 364-4379 · Fax (941) 364-4371

Phone(941) 364-4379

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateApril 8, 2019

Last NPPES UpdateSeptember 29, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2021

✔ NPI 1972066827 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 FL · 11002077

2901 S TAMIAMI TRL, Sarasota, FL 34239

Open in Google Maps ↗

Other Identifiers 1

Other11002077FL · Florida Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melanie A Wilhelm 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 ID3577894575

PECOS Enrollment IDI20191004002489

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 Reassignments

Medicare enrollment records show Melanie Wilhelm reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dante Family Medicine LLC

Same address

Urgent Care

2901 S TAMIAMI TRL
Sarasota, FL 34239

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1215885561 (941) 364-4379

Dante Primary Care LLC

Same address

Primary Care

2901 S TAMIAMI TRL STE A
Sarasota, FL 34239

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1619801602 (941) 364-4379

Lavender Health Care Of Florida, Lllp

Same address

Urgent Care

2901 S TAMIAMI TRL
Sarasota, FL 34239

Reassigned Medicare billing, Florida enrollment
10 clinicians in this Medicare group

NPI 1811210735 (727) 688-6951

American Current Care PA

169 mi

Urgent Care

1347 S ANDREWS AVE
Fort Lauderdale, FL 33316

Reassigned Medicare billing, Florida enrollment
97 clinicians in this Medicare group

NPI 1366634172 (954) 767-9999

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 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.

35 services34 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

33 services32 patients

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.

33 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

22 services21 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

22 services11 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

22 services19 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

19 services19 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services16 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 4

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

DANTE FAMILY MEDICINE LLC

Clinic/Center (Urgent Care)

2901 S TAMIAMI TRL
SARASOTA, FL 34239

Sarasota County (941) 364-4379

MAURA BUETE MD

Family Medicine

2901 S TAMIAMI TRL
SARASOTA, FL 34239

Sarasota County (314) 888-5233

EMILY CIRELLI WALTERS PA

Physician Assistant

2901 S TAMIAMI TRL
SARASOTA, FL 34239

Sarasota County (941) 208-1556

LAVENDER HEALTH CARE OF FLORIDA, LLLP

Clinic/Center (Urgent Care)

2901 S TAMIAMI TRL
SARASOTA, FL 34239

Sarasota County (727) 688-6951

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 Melanie Wilhelm's NPI number?

The NPI number for Melanie Wilhelm is 1972066827. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Melanie Wilhelm located?

Melanie Wilhelm practices at 2901 S Tamiami Trl, Sarasota, FL 34239. The listed phone number is (941) 364-4379.

What is Melanie Wilhelm's specialty?

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

Is Melanie Wilhelm enrolled in Medicare?

Yes. Melanie Wilhelm 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.

Which organizations bill Medicare for Melanie Wilhelm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Wilhelm reassigns Medicare benefits to 4 organizations: Dante Family Medicine LLC (Sarasota, FL), Dante Primary Care LLC (Sarasota, FL), Lavender Health Care Of Florida, Lllp (Sarasota, FL) and American Current Care PA (Fort Lauderdale, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melanie Wilhelm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Wilhelm accept?

Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Melanie Wilhelm 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.

When was this NPI record last updated?

The NPPES record for Melanie Wilhelm was last updated on September 29, 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.