MELISSA ANN FENSTERMAKER (FNP-C) – Nurse Practitioner, NPI 1407563588

MELISSA ANN FENSTERMAKER (FNP-C) is a healthcare provider. based in Longview, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1097486 (TX). The NPI Number for MELISSA ANN FENSTERMAKER (FNP-C) is 1407563588

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA ANN FENSTERMAKER (FNP-C)
NPI
1407563588
Phone
(903) 247-3400
Address
2010 Bill Owens Pkwy
Enumeration Date
31 October 2022
Last Update Date
22 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9036065560
Graduation Year
2022 (4 years ago)
PAC ID
2668842774
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20230106001081
Address ID
TX757012041TY630XXAVEX400

Contacts

Other Endpoint
.
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness95
Years active:3State licenses:1Other names

22,440 NURSE PRACTITIONER in TX

Provider Addresses for MELISSA ANN FENSTERMAKER (FNP-C)

  • 2010 Bill Owens Pkwy

    Longview, TX 756046210

    Phone: (903) 247-3400

    Type: Location

  • 323 E Hawkins Pkwy Ste A

    Longview, TX 756058162

    Phone: (903) 247-3400

    Type: Location

  • 1600 Broadway Ave

    Gladewater, TX 756475040

    Phone: (903) 315-5630

    Type: Location

  • 182 TIGER LILY

    DIANA, TX 756403273

    Phone: (903) 241-6191

    Type: Mailing

  • 705 E MARSHALL AVE STE 1002

    LONGVIEW, TX 756015660

    Phone: (903) 759-7200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2023-10-11 • Largest payer in this snapshot: ABBVIE INC. ($124).

Total Amount

$124

General + Research + Ownership

Payments

1

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$124
View all Open Payments →|Open Payments Risk Radar →

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: 2023-01-06

PECOS data refreshed: 2026-06-15

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
I20230106001081INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7158$0
99213Established patient office or other outpatient visit, 20-29 minutes4037$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
99495Transitional care management services for problem of at least moderate complexity1515$0
View full utilization report →

Insurance plans in this area (ZIP 75604)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX
Internal MedicineTX

Reviews

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Frequently asked questions

Does MELISSA ANN FENSTERMAKER (FNP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MELISSA ANN FENSTERMAKER (FNP-C) uses 1407563588.
Does CMS list MELISSA ANN FENSTERMAKER (FNP-C) as active?
Yes — MELISSA ANN FENSTERMAKER (FNP-C) is active in the NPI listing used on this page.
What is MELISSA ANN FENSTERMAKER (FNP-C)'s specialty?
The listing groups MELISSA ANN FENSTERMAKER (FNP-C) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MELISSA ANN FENSTERMAKER (FNP-C)?
MELISSA ANN FENSTERMAKER (FNP-C)'s geographic hint is Longview, Texas in our summary view.
Why does MELISSA ANN FENSTERMAKER (FNP-C) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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