MELODY E MARTINEZ
NPI 1639905557
Nurse Practitioner - Primary Care in Fond Du Lac, WI
NPI Status: Active since September 09, 2024
Contact Information
430 E DIVISION ST
FOND DU LAC, WI
ZIP 54935
Phone: (920) 926-8200
- Individual
- Female
- Nurse Practitioner
- Primary Care
- Accepts Insurance
- PECOS Enrolled
About MELODY MARTINEZ
This page provides the complete NPI Profile along with additional information for Melody Martinez, a provider established in Fond Du Lac, Wisconsin with a medical specialization in Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1639905557 assigned on September 2024. The practitioner's primary taxonomy code is 363LP2300X with license number 15879 (WI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1639905557
- Provider Name
- MELODY E MARTINEZ
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 430 E DIVISION ST FOND DU LAC, WI 54935
- Location Phone
- (920) 926-8200
- Mailing Address
- 430 E DIVISION ST FOND DU LAC, WI 54935
- Mailing Phone
- (920) 926-8200
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-09-2024
- Last Update Date
- 09-09-2024
- Code Navigator
A nurse practitioner (NP) like Melody Martinez is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
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
Nurse Practitioner Primary Care
- Taxonomy Code
- 363LP2300X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 15879
- License State
- WI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Prestige Bronze Essential + 3 Free PCP Visits - HMO
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Bronze Plus - HMO
- Prestige Gold - HMO
- Prestige Gold 50 + 1 Free PCP Visit - HMO
- Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
- Prestige Gold Essential + 3Free PCP Visits - HMO
- Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Silver - HMO
- Prestige Silver Essential + 3 Free PCP Visits - HMO
- Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Signature Prestige Bronze $0 Deductible - HMO
- Signature Prestige Bronze $0 Deductible + Dental + Vision - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Melody Martinez 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 54935 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.41
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $23.85
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* 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.
Reviews for MELODY E MARTINEZ
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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 | 6 | 3 | 9 | 9 | 0 | 5 | 5 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 18 | 0 | 10 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 8 + 0 + 1 + 0 + 5 + 1 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1639905557 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 |
|---|---|---|---|
| 1033106125 | MARY LAUSCH ARRIGONI CRNA Individual | Nurse Anesthetist, Certified Registered | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-5942 |
| 1972594679 | JAN ANDREWS RN Individual | Registered Nurse (Medical-Surgical) | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1063403715 | MARTHA W BAUDER MD Individual | Emergency Medicine | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-4600 |
| 1780675462 | MICHAEL T CARLSON PA Individual | Physician Assistant | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-4600 |
| 1306837984 | CATHERINE M CASPARY NP Individual | Nurse Practitioner (Critical Care Medicine) | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1912998303 | JOAN GEIGER CST Individual | Specialist/Technologist, Other | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1205817582 | CARRIE L KROHN RN Individual | Registered Nurse (Medical-Surgical) | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1003897315 | JACQUELINE S LEMMENES CST Individual | Specialist/Technologist, Other | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1407839699 | DAVID A UERKWITZ RN Individual | Registered Nurse (Medical-Surgical) | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1194708156 | JESSICA M BRAATZ RN Individual | Registered Nurse (Medical-Surgical) | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1316921893 | HENRY T CHANG MD Individual | Anesthesiology | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-2300 |
| 1356327019 | TAI H KWON MD Individual | Anesthesiology | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-2300 |
| 1699751305 | LINDA A WELCH CRNA Individual | Nurse Anesthetist, Certified Registered | 430 E DIVISION ST SUITE 4 FOND DU LAC, WI 54935 (920) 926-2300 |
| 1568448264 | SHOGI-TEN TSAI MD Individual | Anesthesiology | 430 E DIVISION ST SUITE 4 FOND DU LAC, WI 54935 (920) 926-2300 |
| 1336125053 | WENDY E WIESE CRNA Individual | Nurse Anesthetist, Certified Registered | 430 E DIVISION ST SUITE 4 FOND DU LAC, WI 54935 (920) 926-2300 |
| 1821077801 | CHARLES P BENNETT MD Individual | Anesthesiology | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-8340 |
| 1912967407 | LYNN ZEHREN RN Individual | Registered Nurse (Medical-Surgical) | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 929-2300 |
| 1962459917 | NEIL J GAERTIG PT Individual | Physical Therapist | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-5390 |
| 1215984265 | DAWN M KRAUS MS, PT Individual | Physical Therapist | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-5370 |
| 1255388625 | JENNIFER L THOMPSON PTA Individual | Physical Therapy Assistant | 430 E DIVISION ST FOND DU LAC, WI 54935 (920) 926-5390 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639905557, enumerated in the NPI registry as an "individual" on September 09, 2024
The provider is located at 430 E Division St Fond Du Lac, Wi 54935 and the phone number is (920) 926-8200
The provider's speciality is Nurse Practitioner with taxonomy code 363LP2300X with a focus in Primary Care
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Network Health. 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 $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $95.41 and an average copayment of 23.85. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 09, 2024. 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].
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