Active NPI 1255988770 Individual Practitioner Female Practitioner

Dr. Melissa M Kestler , DNP, FNP-BC

Nurse Practitioner • Seaford, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Melissa Kestler, DNP, FNP-BC is a certified Nurse Practitioner practicing in Seaford, DE. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Kestler delivers high-quality medical care to the local community at 220 PENNSYLVANIA AVE.

Dr. Kestler is affiliated with Chesapeake Urology Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include bcg live intravesical instillation, 1 mg, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

220 Pennsylvania Ave

Seaford, DE 199733820

Telephone 4103916131

Associated Practice Facility / Clinic

🏢 Jose L Barriocanal, Md Pa Facility NPI 1235314824

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Seaford, DE

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -1.0 yrs vs City Avg

City Avg: 12.0 Yrs

State Avg: 9.1 Yrs

Regional Practice Density

13 Specialists

Practicing in Seaford, DE (552 Statewide)

Telehealth Adoption Rate

30.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kestler (11 Years) 11 Yrs

Seaford Specialty Average (12.0 Years) 12.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	1,550	19	$5.00	$2.87
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	1,219	713	$42.75	$13.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	852	568	$305.48	$107.27
81003 Automated urinalysis test	566	420	$5.00	$2.18
51798 Ultrasound measurement of bladder capacity after voiding	501	328	$61.75	$11.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	233	233	$405.91	$141.02
51702 Simple insertion of temporary bladder tube	198	75	$147.33	$52.97
99213 Established patient office or other outpatient visit, typically 15 minutes	184	159	$269.80	$77.02
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	118	23	$166.00	$52.72
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	103	21	$168.97	$53.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	83	46	$187.84	$99.22
36415 Insertion of needle into vein for collection of blood sample	63	60	$21.00	$8.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	40	$131.48	$65.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	58	$364.90	$144.89
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	41	16	$129.00	$40.83
51720 Instillation of anti-cancer drug into bladder	33	20	$396.06	$75.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$247.96	$109.16
99427 Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month	25	12	$129.00	$40.26
51705 Removal of skin suture with change of bladder tube	24	11	$217.83	$82.90
51741 Electronic assessment of bladder emptying	20	20	$197.40	$11.21
55899 Other procedure on male genital system	17	17	$850.00	$121.16
99459 Pelvic exam	14	13	$61.00	$19.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	2,900	23	$5.00	$2.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	673	451	$301.00	$108.97
81003 Automated urinalysis test	505	380	$5.00	$2.18
51798 Ultrasound measurement of bladder capacity after voiding	433	309	$61.00	$10.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	218	107	$130.00	$67.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	202	202	$400.00	$141.50
99213 Established patient office or other outpatient visit, typically 15 minutes	170	157	$266.00	$77.49
51702 Simple insertion of temporary bladder tube	125	62	$145.00	$53.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	90	88	$245.00	$110.97
51720 Instillation of anti-cancer drug into bladder	68	29	$390.00	$75.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	51	$360.00	$147.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	53	36	$185.00	$101.34
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	36	32	$44.47	$19.99
51703 Complicated insertion of bladder tube	20	19	$305.00	$64.81
55899 Other procedure on male genital system	18	18	$840.00	$109.32
51741 Electronic assessment of bladder emptying	17	17	$195.00	$12.14
P9612 Catheterization for collection of specimen, single patient, all places of service	15	14	$10.33	$6.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$261.00	$90.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	242	214	$289.71	$110.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	166	79	$130.00	$61.81
81003 Automated urinalysis test	156	128	$5.54	$2.13
99213 Established patient office or other outpatient visit, typically 15 minutes	138	123	$239.55	$81.85
51798 Ultrasound measurement of bladder capacity after voiding	100	92	$61.00	$11.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	85	81	$245.00	$117.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$400.00	$147.52
76775 Limited ultrasound scan behind abdominal cavity	35	34	$265.00	$50.83
51702 Simple insertion of temporary bladder tube	20	15	$145.00	$56.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$259.16	$67.06
P9612 Catheterization for collection of specimen, single patient, all places of service	12	11	$5.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	110	$268.06	$105.36
99213 Established patient office or other outpatient visit, typically 15 minutes	123	76	$189.55	$76.49
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	23	22	$122.00	$65.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$368.59	$144.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$348.24	$145.66
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$35.14	$12.89
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$329.36	$110.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	102	$156.12	$65.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	75	$226.22	$95.04
G0008 Administration of influenza virus vaccine	40	40	$55.00	$17.21
90682 Influenza vaccine, quadrivalent derived from recombinant dna	33	33	$112.01	$60.98
81002 Urinalysis, manual test	31	24	$17.00	$3.46
99442 Telephone medical discussion with physician, 11-20 minutes	29	23	$156.10	$65.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$240.36	$101.11
99443 Telephone medical discussion with physician, 21-30 minutes	15	12	$197.42	$92.33
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$35.62	$14.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$342.16	$143.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	38	33	$154.18	$60.44
G0008 Administration of influenza virus vaccine	12	12	$55.00	$16.88

Medical Specialties & State Licenses

CMS Verified: 2026-06-30

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License DE LG-0001317

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MD AC004126

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License DE L1-0053677

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IN 71018106A

Hospital & Practice Group Affiliations

Chesapeake Urology Associates Llc

1111 Mount Hermon Rd, Salisbury, MD 218045109

Phone: 4105462133

Chesapeake Urology Associates Llc

220 Pennsylvania Ave, Seaford, DE 199733820

Phone: 4105811600

Secondary Practice Locations

1111 Mount Hermon Rd

Salisbury, MD 218045109

Phone: 4105462113

11123 Parkview Plaza Dr Ste 102

Fort Wayne, IN 468451707

Phone: 2604255240

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. Kannan Manickam , MD

Urology

NPI 1023018074

Doctor of Medicine (M.D.)

Wendy Sullivan , PA

Physician Assistant

NPI 1194781617

Physician Assistant

Dr. William Dowling , MD

Urology

NPI 1407808991

Doctor of Medicine (M.D.)

Dr. Anthony Sclama , MD, MSB

Urology

NPI 1548217938

Doctor of Medicine (M.D.), MSB

Parker Barrett , PA-C

Physician Assistant

NPI 1669840476

Physician Assistant (Certified)

Dr. Irwin Nudelman , MD

Urology

NPI 1790731644

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2026

Nurse Practitioner (License #LG-0001317 in DE)

📍

Updated Practice Location June 18, 2025

Registered at 220 PENNSYLVANIA AVE, SEAFORD, DE 199733820 (Tel: 4103916131)

📍

Updated Business Mailing Address June 18, 2025

Registered at 10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 211174366 (Tel: 4347157834)

✅

NPI Profile Active September 09, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location September 09, 2019

Registered at 30668 SUSSEX HWY, LAUREL, DE 199564421 (Tel: 3028756550)

📍

Updated Business Mailing Address September 09, 2019

Registered at 100 E CARROLL ST, SALISBURY, MD 218015493 (Tel: 4105466400)

👤

Provider Name / Credentials Updated September 09, 2019

Recorded as MELISSA KESTLER, DNP, FNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2019

Registered Nurse (License #L1-0053677 in DE)

🟢

Initial NPI Registration & Enumeration August 20, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255988770

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 20, 2019

Last Update: June 30, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10200 Grand Central Ave Ste 220

Owings Mills, MD 211174366

Phone: 4347157834

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.