Active NPI 1053822916 Individual Practitioner Female Practitioner

Melissa Spies , AGNP-C

Nurse Practitioner - Primary Care • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Melissa Spies, AGNP-C is a registered healthcare professional specializing in Nurse Practitioner - Primary Care in St Augustine, FL. Practice services are available at 2867 N 9TH ST under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2867 N 9th St

St Augustine, FL 320841867

Telephone 9049997631

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in St Augustine, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 1.0 Yrs

State Avg: 7.9 Yrs

Regional Practice Density

4 Specialists

Practicing in St Augustine, FL (1099 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	428	147	$240.00	$77.18
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	235	113	$120.00	$58.74
99306 Initial nursing facility visit, typically 45 minutes per day	39	39	$300.00	$141.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	59	58	$240.00	$77.81
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	25	25	$120.00	$59.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3411 Injection, thiamine hcl, 100 mg	6,009	108	$30.04	$2.44
J3415 Injection, pyridoxine hcl, 100 mg	6,009	108	$30.06	$7.46
97032 Application of electrical stimulation with therapist present, each 15 minutes	3,792	105	$30.00	$10.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	3,636	108	$45.00	$11.96
97016 Application of blood vessel compression device	1,546	105	$35.00	$8.22
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,382	58	$68.69	$22.16
97150 Therapy procedure in a group setting	847	70	$52.12	$15.67
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	561	36	$75.00	$25.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	75	$91.02	$38.35
95861 Needle measurement of electrical activity in arm or leg muscles, 2 extremities	51	51	$360.78	$143.92
99213 Established patient office or other outpatient visit, typically 15 minutes	50	49	$133.20	$63.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$221.00	$91.61
95923 Testing of autonomic (sympathetic) nervous system function	20	20	$272.00	$107.00
95910 Nerve conduction, 7-8 studies	11	11	$381.82	$160.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3411 Injection, thiamine hcl, 100 mg	3,067	72	$30.08	$2.09
J3415 Injection, pyridoxine hcl, 100 mg	3,067	72	$30.13	$9.16
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	2,295	72	$75.00	$24.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	2,046	72	$45.00	$13.84
97032 Application of electrical stimulation with therapist present, each 15 minutes	1,526	72	$30.00	$10.22
97016 Application of blood vessel compression device	758	72	$35.00	$8.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	112	72	$55.00	$37.63
99213 Established patient office or other outpatient visit, typically 15 minutes	66	66	$90.00	$62.24
11105 Punch biopsy, each additional skin growth	42	41	$85.71	$51.03
11104 Punch biopsy, first skin growth	41	41	$151.46	$103.56
95861 Needle measurement of electrical activity in arm or leg muscles, 2 extremities	28	28	$227.14	$144.06
95923 Testing of autonomic (sympathetic) nervous system function	19	19	$165.26	$105.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$130.00	$91.40

Medical Specialties & State Licenses

CMS Verified: 2020-11-10

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License FL ARNP9243906

Definition to come...

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location November 10, 2020

Registered at 2867 N 9TH ST, ST AUGUSTINE, FL 320841867 (Tel: 9049997631)

📍

Updated Business Mailing Address November 10, 2020

Registered at 2867 N 9TH ST, ST AUGUSTINE, FL 320841867 (Tel: 9049997631)

✅

NPI Profile Active October 18, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 18, 2017

Registered at 121 PINE LAKES PKWY N, PALM COAST, FL 321373646 (Tel: 9042589007)

📍

Updated Business Mailing Address October 18, 2017

Registered at 121 PINE LAKES PKWY N, PALM COAST, FL 321373646 (Tel: 9042589007)

👤

Provider Name / Credentials Updated October 18, 2017

Recorded as MELISSA SPIES, AGNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2017

Nurse Practitioner (License #ARNP9243906 in FL)

🟢

Initial NPI Registration & Enumeration October 18, 2017

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: 1053822916

Entity Type:

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

Enumeration Date: October 18, 2017

Last Update: November 10, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2867 N 9th St

St Augustine, FL 320841867

Phone: 9049997631

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.