MELISSA GINGRICH ARNP
NPI 1528378957
Clinical Nurse Specialist - Women's Health in Ottumwa, IA
NPI Status: Active since October 19, 2010
Contact Information
1001 PENNSYLVANIA AVE
SUITE 204
OTTUMWA, IA
ZIP 52501
Phone: (641) 682-8761
Fax: (641) 682-2764
- Individual
- Female
- Clinical Nurse Specialist
- Women's Health
- PECOS Enrolled
- Medicare Quality Reporting
About MELISSA GINGRICH
This page provides the complete NPI Profile along with additional information for Melissa Gingrich, a provider established in Ottumwa, Iowa with a medical specialization in Clinical Nurse Specialist, focusing in women's health . The healthcare provider is registered in the NPI registry with number 1528378957 assigned on October 2010. The practitioner's primary taxonomy code is 364SW0102X with license number F-087190 (IA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1528378957
- Provider Name
- MELISSA GINGRICH ARNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1001 PENNSYLVANIA AVE SUITE 204 OTTUMWA, IA 52501
- Location Phone
- (641) 682-8761
- Location Fax
- (641) 682-2764
- Mailing Address
- 1001 PENNSYLVANIA AVE STE 204 OTTUMWA, IA 52501
- Mailing Phone
- (641) 682-8761
- Mailing Fax
- (641) 682-2764
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-19-2010
- Last Update Date
- 01-20-2017
- Code Navigator
A Clinical Nurse Specialist (CNS) like Melissa Gingrich is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Nurse Specialist Women's Health
- Taxonomy Code
- 364SW0102X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- F-087190
- License State
- IA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F087190 | OTHER (01) | IA | IOWA LICENSE |
Medicare Participation & PECOS Enrollment Status
Melissa Gingrich is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 52501 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $122.23
- Minimum New Patient Price $52.96
- Maximum New Patient Price $161.4
- Average New Patient Copayment $30.55
- Minimum New Patient Copayment $13.24
- Maximum New Patient Copayment $40.35
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.05
- Minimum Established Patient Price $16.91
- Maximum Established Patient Price $131.98
- Average Established Patient Copayment $23.51
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $32.99
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Patient-Specific Education | 28% | 69 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 25% | 52 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97% | 31 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide Patient Access | 75% | 69 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 33% | 69 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Reviews for MELISSA GINGRICH ARNP
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 3 | 7 | 8 | 9 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 6 | 7 | 16 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 6 + 7 + 1 + 6 + 9 + 1 + 0 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1528378957 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477544286 | DR. AMY KUMAGAI D.O. Individual | Emergency Medicine | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 684-2402 |
| 1154374056 | RADIATION ONCOLOGY PC Organization | Radiology (Radiation Oncology) | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 684-2480 |
| 1174568794 | OTTUMWA REGIONAL HEALTH CENTER INC Organization | Clinic/Center (Multi-Specialty) | 1001 PENNSYLVANIA AVE CENTRAL CLINIC BILLING OTTUMWA, IA 52501 (641) 684-3053 |
| 1366477705 | OTTUMWA REGIONAL HEALTH CENTER INC Organization | Clinic/Center (Emergency Care) | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 682-7511 |
| 1528175981 | OTTUMWA REGIONAL HEALTH CENTER INC Organization | General Acute Care Hospital | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 682-7511 |
| 1952465320 | OTTUMWA REGIONAL HEALTH CENTER, INC Organization | Rehabilitation Unit | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 682-7511 |
| 1538214788 | RADIOLOGY ASSOCIATES OF OTTUMWA, P.C. Organization | Radiology (Diagnostic Radiology) | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 682-5453 |
| 1295919926 | RACHEL LEE GOEDKEN D.P.T. Individual | Physical Therapist | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 684-2440 |
| 1124338926 | WAPELLO EMERGENCY GROUP PC Organization | Emergency Medicine | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 684-2300 |
| 1114999810 | MR. LONNIE LEE LANFERMAN DO Individual | Family Medicine | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 682-7511 |
| 1730407362 | RCHP - OTTUMWA LLC Organization | Clinic/Center (Emergency Care) | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 684-2300 |
| 1629312723 | OTTUMWA ER LLC Organization | Emergency Medicine (Emergency Medical Services) | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 684-2402 |
| 1861733586 | LISA CHRISTINE COX PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 684-3400 |
| 1538487160 | RCHP OTTUMWA LLC Organization | Ambulance | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 682-7511 |
| 1245601087 | SHELLEY BECHTEL FNP-BC Individual | Nurse Practitioner (Family) | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 684-2399 |
| 1285071480 | RONG NONE SUN FNP Individual | Nurse Practitioner (Family) | 1001 PENNSYLVANIA AVE OTTUMWA REGIONAL HEALTH CENTER, EMERGENCY ROOM OTTUMWA, IA 52501 (641) 684-2323 |
| 1568675791 | OTTUMWA REGIONAL HEALTH CENTER, INC Organization | Durable Medical Equipment & Medical Supplies (Customized Equipment) | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 682-7511 |
| 1073038220 | JAMIE LEE HYDE ARNP Individual | Nurse Practitioner (Family) | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 682-7511 |
| 1063826857 | DR. LANI JOELLE TAN GO M.D. Individual | Internal Medicine | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 684-2300 |
| 1447752464 | PEGGY SUE SWANK ARNP Individual | Nurse Practitioner (Family) | 1001 PENNSYLVANIA AVE OTTUMWA, IA 52501 (641) 683-6868 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528378957, enumerated in the NPI registry as an "individual" on October 19, 2010
The provider is located at 1001 Pennsylvania Ave Suite 204 Ottumwa, Ia 52501 and the phone number is (641) 682-8761
The provider's speciality is Clinical Nurse Specialist with taxonomy code 364SW0102X with a focus in Women's Health
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $122.23 with an average copayment of $30.55 for new patient appointments. Established patients should expect a typical charge of $94.05 and an average copayment of 23.51. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 19, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.