MRS. MELISSA DEANNE PRINCIVALLI (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124219100

MRS. MELISSA DEANNE PRINCIVALLI (PMHNP) is a healthcare provider. based in Columbia, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 2004020809 (MO). The NPI Number for MRS. MELISSA DEANNE PRINCIVALLI (PMHNP) is 1124219100

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MELISSA DEANNE PRINCIVALLI (PMHNP)
NPI
1124219100
Phone
(573) 886-3400
Address
7661 E EAST CT
Enumeration Date
6 August 2007
Last Update Date
12 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5738841000
Graduation Year
2020 (6 years ago)
PAC ID
5092126961
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20201125000113
Address ID
MO652015276CO3XXXXDRXX300
Telehealth
Yes

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for MRS. MELISSA DEANNE PRINCIVALLI (PMHNP)

  • East Court, Brentwood Park, Burnaby, District of North Vancouver, Metro Vancouver Regional District, British Columbia, V5B 3G2, Canada

    COLUMBIA, MO 652017082

    Phone: (573) 886-3400

    Type: Mailing

  • 3 HOSPITAL DR

    COLUMBIA, MO 652015276

    Phone: (573) 884-1255

    Fax: (573) 884-6942

    Type: Location

  • PO BOX 843966

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

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: 2020-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201125000113INurse PractitionerMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17760$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3026$0
99239Hospital discharge day management, more than 30 minutes1311$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 65201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

Can I verify MRS. MELISSA DEANNE PRINCIVALLI (PMHNP) with an NPI only?
You can start verification with NPI 1124219100 for MRS. MELISSA DEANNE PRINCIVALLI (PMHNP), then check state licensing separately.
Does the file indicate MRS. MELISSA DEANNE PRINCIVALLI (PMHNP) is practicing under active NPI?
Directory data currently reports MRS. MELISSA DEANNE PRINCIVALLI (PMHNP) as active.
What is MRS. MELISSA DEANNE PRINCIVALLI (PMHNP)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for MRS. MELISSA DEANNE PRINCIVALLI (PMHNP) here. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. MELISSA DEANNE PRINCIVALLI (PMHNP)?
MRS. MELISSA DEANNE PRINCIVALLI (PMHNP)'s geographic hint is Columbia, Missouri in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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