Active NPI 1912294083 Individual Practitioner Female Practitioner

Melissa Theodore , NP

Nurse Practitioner • Evanston, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Melissa Theodore, NP is a certified Nurse Practitioner practicing in Evanston, IL. With approximately 16 years of clinical experience since graduating from Rush Medical College Of Rush University in 2010, Melissa Theodore delivers high-quality medical care to the local community at 2650 RIDGE AVE.

Melissa Theodore maintains professional affiliations with Clear Practice Pllc, Geri Care Ltd and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

2650 Ridge Ave

Evanston, IL 602011700

Telephone 8475701010

Fax 8477335108

Associated Practice Facility / Clinic

🏢 Endeavor Health Clinical Operations Facility NPI 1184670549

Medicare Profile & Education

Medical School

Rush Medical College Of Rush University

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Evanston, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +6.2 yrs vs City Avg

City Avg: 9.8 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

140 Specialists

Practicing in Evanston, IL (4929 Statewide)

Telehealth Adoption Rate

21.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

50.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Theodore (16 Years) 16 Yrs

Evanston Specialty Average (9.8 Years) 9.8 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
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	195	49	$246.00	$109.25
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	132	54	$175.00	$93.94
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	111	44	$343.00	$158.06
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	105	52	$260.00	$134.65
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	79	30	$164.00	$66.31
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	65	34	$175.00	$94.17
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	47	26	$135.00	$64.97
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	27	21	$260.00	$134.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$225.00	$112.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$225.00	$113.15
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	12	12	$307.25	$176.61
99344 New patient home visit, typically 1 hour	11	11	$203.00	$123.46
99496 Transitional care management services for problem of high complexity	11	11	$425.00	$165.14

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	125	44	$175.00	$94.17
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	119	48	$260.00	$135.84
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	112	51	$246.00	$113.41
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	84	38	$343.00	$165.20
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	73	39	$164.00	$67.01
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	42	24	$135.00	$66.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$225.00	$113.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$225.00	$113.76
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	11	11	$422.00	$179.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	243	61	$250.00	$119.16
99337 Established patient assisted living visit, typically 60 minutes	141	47	$350.00	$171.12
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	135	44	$175.00	$80.66
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	103	38	$135.00	$61.62
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	72	37	$260.00	$118.39
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	23	23	$416.00	$192.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$225.00	$118.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	163	41	$250.00	$121.41
99337 Established patient assisted living visit, typically 60 minutes	155	45	$350.00	$173.50
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	149	45	$175.00	$81.75
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	93	30	$135.00	$62.38
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	48	33	$260.00	$121.21
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	25	25	$416.00	$195.97

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	174	44	$175.00	$82.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	86	42	$135.00	$62.71
99337 Established patient assisted living visit, typically 60 minutes	62	37	$350.00	$176.86
99336 Established patient assisted living visit, typically 40 minutes	57	29	$250.00	$122.12
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	24	20	$260.00	$121.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	71	21	$200.00	$121.50

Medical Specialties & State Licenses

CMS Verified: 2026-01-14

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 277000045

(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 - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License IL 277000045

Definition to come...

Hospital & Practice Group Affiliations

Geri Care Ltd

1600 W Dempster St, Park Ridge, IL 600681171

Phone: 8475901500

Clear Practice Pllc

332 S Michigan Ave, Chicago, IL 606044393

Phone: 8552292191

Secondary Practice Locations

4600 N Ravenswood Ave

Chicago, IL 606404510

Phone: 7735616282

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. James Kelly , DO

Hospitalist

NPI 1003377177

Doctor of Osteopathic Medicine (D.O.)

Dr. Lauren Anderson , MD

Hospitalist

NPI 1003504648

Doctor of Medicine (M.D.)

Dr. Nicole Palmer , MD, MPH

Student in an Organized Health Care Education/Training Program

NPI 1003748252

Doctor of Medicine (M.D.), Master of Public Health

Dr. Adela Kola , MD

Hospitalist

NPI 1003888397

Doctor of Medicine (M.D.)

Dr. Matthew Sherwood , MD

Internal Medicine

NPI 1013084078

Doctor of Medicine (M.D.)

Dr. Vivek Kaushal , MD

Hospitalist

NPI 1043387004

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location January 14, 2026

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8475701010)

📍

Updated Business Mailing Address January 14, 2026

Registered at 2650 RIDGE AVE STE 1223, EVANSTON, IL 602011700 (Tel: 8475702040)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2026

Nurse Practitioner (License #277000045 in IL)

✅

NPI Profile Active April 02, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 02, 2013

Registered at 4600 N RAVENSWOOD AVE, CHICAGO, IL 606404510 (Tel: 7735616282)

📍

Updated Business Mailing Address April 02, 2013

Registered at 2662 N ORCHARD ST UNIT 1, SUITE 1156, CHICAGO, IL 606141518 (Tel: 7732207552)

👤

Provider Name / Credentials Updated April 02, 2013

Recorded as MELISSA THEODORE, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2013

Nurse Practitioner (License #209-008739 in IL)

🟢

Initial NPI Registration & Enumeration July 08, 2011

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: 1912294083

Entity Type:

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

Enumeration Date: July 08, 2011

Last Update: January 14, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2650 Ridge Ave Ste 1223

Evanston, IL 602011700

Phone: 8475702040

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.