DR. MELISSA NOTHNAGLE (MD) – Family Medicine Physician, NPI 1023092806

DR. MELISSA NOTHNAGLE (MD) is a healthcare provider. based in Pawtucket, Rhode Island. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 151802 (CA). The NPI Number for DR. MELISSA NOTHNAGLE (MD) is 1023092806

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELISSA NOTHNAGLE (MD)
NPI
1023092806
Phone
(401) 729-3481
Address
111 BREWSTER ST
Enumeration Date
5 December 2005
Last Update Date
16 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
8317554235
Graduation Year
1999 (27 years ago)
PAC ID
6002973252
Group Practice PAC ID
2466345632
Professional Enrollment ID
I20171222000819
Address ID
CA939120000SA1441XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

406 FAMILY PRACTICE in RI

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Provider Addresses for DR. MELISSA NOTHNAGLE (MD)

  • Memorial Hospital of Rhode Island, 111, Brewster Street, Pawtucket, Providence County, Rhode Island, 02860, United States

    WOOD BLDG 516

    PAWTUCKET, RI 028604400

    Phone: (401) 729-3481

    Fax: (401) 729-2721

    Type: Mailing

  • 622 CONGRESS AVE

    PACIFIC GROVE, CA 939504114

    Phone: (401) 419-4299

    Type: Mailing

  • 1441 CONSTITUTION BLVD BLDG 4003

    SALINAS, CA 939063100

    Phone: (831) 755-4111

    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: 2017-12-22

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
I20171222000819IFamily PracticeCATBD

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
83036Hemoglobin a1c level312195$0
82947Blood glucose (sugar) level9275$0
81002Urinalysis, manual test5544$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4628$0
85018Blood count, hemoglobin4133$0
View full utilization report →

Insurance plans in this area (ZIP 02860)

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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: 2466345632View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. MELISSA NOTHNAGLE (MD)?
Save NPI 1023092806 if you need a stable reference for DR. MELISSA NOTHNAGLE (MD).
Is DR. MELISSA NOTHNAGLE (MD) active in the national directory?
DR. MELISSA NOTHNAGLE (MD)'s public NPI profile is in an active state.
What kind of provider is DR. MELISSA NOTHNAGLE (MD)?
The page reflects Family Medicine Physician for DR. MELISSA NOTHNAGLE (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. MELISSA NOTHNAGLE (MD)?
The snapshot lists Pawtucket, Rhode Island for DR. MELISSA NOTHNAGLE (MD); download NPPES for the complete set.
What if Pawtucket, Rhode Island seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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