MELISSA CLEVENGER – Family Nurse Practitioner, NPI 1063952620
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for MELISSA CLEVENGER
9977, Woods Drive, Skokie, Niles Township, Cook County, Illinois, 60077, United States
SKOKIE, IL 600771057
Phone: (224) 364-2273
Type: Mailing
PO BOX 7527
DUBLIN, OH 430170727
Phone:
Fax: (614) 544-6370
Type: Mailing
6905 HOSPITAL DR STE 130
DUBLIN, OH 430169600
Phone: (614) 923-0400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-01-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170424001900 | I | Nurse Practitioner | OH | TBD |
| I20190125001527 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 84 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 61 | $0 |
| 87636 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b | 62 | 59 | $0 |
| 81003 | Automated urinalysis test | 25 | 23 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 19 | 19 | $0 |
Insurance plans in this area (ZIP 60077)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| Nurse Practitioner | OH | |
| General Practice | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Emergency Medicine | OH | |
| Family Practice | OH | |
| - | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH |
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