Active NPI 1194798603 Individual Practitioner Female Practitioner

Melissa Anne Vance , FNP-BC, DCNP

Nurse Practitioner • Ashtabula, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Melissa Vance, FNP-BC, DCNP is a certified Nurse Practitioner practicing in Ashtabula, OH. With approximately 23 years of clinical experience since completing medical education in 2003, Melissa Vance delivers high-quality medical care to the local community at 2141 LAKE AVE.

Melissa Vance is affiliated with Apex Dermatology And Skin Surgery Center, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2141 Lake Ave

Ashtabula, OH 440043435

Telephone 4404430442

Fax 4407558010

Associated Practice Facility / Clinic

🏢 Regional Diagnostics, Llc Facility NPI 1386632578

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ashtabula, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +11.3 yrs vs City Avg

City Avg: 11.7 Yrs

State Avg: 9.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Ashtabula, OH (4294 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vance (23 Years) 23 Yrs

Ashtabula Specialty Average (11.7 Years) 11.7 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
17003 Destruction of precancer skin growth, 2-14 growths	1,629	234	$12.33	$5.08
99213 Established patient office or other outpatient visit, typically 15 minutes	895	510	$173.51	$72.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	593	342	$245.13	$102.32
17000 Destruction of skin growth	519	335	$127.45	$43.13
17110 Destruction of up to 14 skin growths	228	167	$212.09	$82.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	159	28	$1.95	$0.96
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	134	97	$226.83	$76.79
17004 Destruction of precancer skin growth, 15 or more growths	94	62	$314.03	$130.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	68	$107.19	$45.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$212.97	$89.38
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	67	59	$256.14	$97.83
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	60	52	$255.88	$95.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$320.60	$132.61
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	54	46	$186.94	$50.71
17111 Destruction of skin growth, 15 or more growths	43	21	$248.62	$104.25
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	42	34	$290.60	$114.62
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	35	33	$228.44	$82.19
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	35	32	$215.23	$68.29
11900 Injection into skin growth, 1-7 growths	26	16	$107.82	$37.43
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	25	22	$259.70	$87.56
11104 Punch biopsy, first skin growth	19	18	$233.18	$95.26
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	14	13	$196.73	$64.72
11102 Tangential biopsy of single skin lesion	14	14	$186.33	$58.80
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	13	11	$490.52	$205.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,632	272	$12.59	$5.26
99213 Established patient office or other outpatient visit, typically 15 minutes	826	500	$174.48	$72.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	756	433	$247.04	$102.93
17000 Destruction of skin growth	546	356	$128.44	$42.64
17110 Destruction of up to 14 skin growths	272	185	$215.49	$79.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	208	34	$2.16	$1.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	199	199	$216.77	$91.13
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	174	130	$232.88	$78.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	151	151	$322.82	$135.31
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	133	109	$262.34	$91.31
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	103	84	$262.16	$97.77
17004 Destruction of precancer skin growth, 15 or more growths	101	71	$323.20	$135.27
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	91	77	$222.68	$72.93
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	69	54	$300.19	$114.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	54	$108.60	$45.52
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	62	52	$192.67	$57.95
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	56	50	$235.34	$81.87
88305 Pathology examination of tissue using a microscope, intermediate complexity	46	30	$64.07	$31.70
17111 Destruction of skin growth, 15 or more growths	38	27	$252.66	$97.48
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	35	33	$267.19	$97.44
11900 Injection into skin growth, 1-7 growths	28	18	$109.32	$31.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	14	$43.82	$18.32
11104 Punch biopsy, first skin growth	24	24	$238.89	$100.41
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	23	22	$202.04	$62.46
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	17	15	$299.12	$77.50
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	15	13	$503.37	$211.17
11102 Tangential biopsy of single skin lesion	12	12	$193.18	$60.73

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	209	153	$242.30	$104.34
17003 Destruction of precancer skin growth, 2-14 growths	208	64	$12.52	$5.38
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	169	28	$10.71	$1.10
99213 Established patient office or other outpatient visit, typically 15 minutes	165	123	$175.46	$74.42
88305 Pathology examination of tissue using a microscope, intermediate complexity	131	86	$99.98	$31.16
17000 Destruction of skin growth	117	95	$128.24	$43.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$214.37	$92.13
17110 Destruction of up to 14 skin growths	71	52	$215.93	$80.45
11901 Injection into skin growth, more than 7 growths	42	14	$144.67	$57.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$328.78	$137.57
17004 Destruction of precancer skin growth, 15 or more growths	28	24	$317.98	$136.31
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	23	20	$269.56	$88.14
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	21	15	$237.23	$71.56
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	18	$276.94	$102.82
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$145.15	$57.55
11900 Injection into skin growth, 1-7 growths	18	13	$112.31	$39.86
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	16	13	$236.39	$80.91
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$305.29	$121.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	269	26	$3.01	$1.26
99213 Established patient office or other outpatient visit, typically 15 minutes	161	83	$177.66	$74.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	52	$252.37	$107.53
11901 Injection into skin growth, more than 7 growths	57	19	$138.11	$56.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$219.96	$90.85
11900 Injection into skin growth, 1-7 growths	16	12	$109.93	$43.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$306.36	$139.82

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	106	58	$212.18	$88.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	99	21	$3.00	$1.47
11901 Injection into skin growth, more than 7 growths	32	14	$135.76	$52.42
99213 Established patient office or other outpatient visit, typically 15 minutes	31	25	$145.97	$61.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$209.85	$88.84

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	137	81	$169.51	$88.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	86	17	$3.58	$1.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$163.46	$88.71
11901 Injection into skin growth, more than 7 growths	25	14	$112.33	$55.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	166	27	$3.58	$1.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	85	$207.26	$87.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$206.90	$85.04
11901 Injection into skin growth, more than 7 growths	34	17	$137.11	$57.45
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$140.16	$59.11
11100 Biopsy of single growth of skin and/or tissue	24	20	$198.35	$82.88
11900 Injection into skin growth, 1-7 growths	22	14	$108.64	$45.44
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$145.16	$61.08

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	64	47	$205.93	$87.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$165.55	$88.29
99213 Established patient office or other outpatient visit, typically 15 minutes	31	31	$107.75	$59.51
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$25.00	$16.11

Medical Specialties & State Licenses

CMS Verified: 2025-11-10

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH RN.289913

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2873912 (OH)

Hospital & Practice Group Affiliations

Apex Dermatology And Skin Surgery Center, Llc

7580 Auburn Rd, Painesville, OH 440779618

Phone: 4403527546

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. James Lavery , MD

Family Medicine

NPI 1225561194

Doctor of Medicine (M.D.)

Sean Deeley , PA-C

Physician Assistant

NPI 1336021609

Physician Assistant (Certified)

Sophia Thorman , PA-C

Physician Assistant

NPI 1861087322

Physician Assistant (Certified)

Kristina Petkovic , CNP

Nurse Practitioner

NPI 1942857404

Certified Nurse Practitioner

Career & Practice History Timeline

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

14 Historical Events

👤

Provider Name / Credentials Updated November 10, 2025

Recorded as MELISSA VANCE, FNP-BC, DCNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2025

Nurse Practitioner (License #RN.289913 in OH)

📍

Updated Practice Location October 20, 2025

Registered at 2141 LAKE AVE, ASHTABULA, OH 440043435 (Tel: 4404430442)

📍

Updated Business Mailing Address October 20, 2025

Registered at 2000 AUBURN DR, STE 350, BEACHWOOD, OH 441224327 (Tel: 2164173250)

👤

Provider Name / Credentials Updated October 20, 2025

Recorded as MELISSA VANCE, C.N.P.

📍

Updated Business Mailing Address July 21, 2022

Registered at 5800 LANDERBROOK DR, STE 100, MAYFIELD HEIGHTS, OH 441246510 (Tel: 2164173250)

📍

Updated Business Mailing Address September 17, 2018

Registered at 2323 LEE RD, CLEVELAND HEIGHTS, OH 441183413 (Tel: 2164173250)

👤

Provider Name / Credentials Updated September 17, 2018

Recorded as MELISSA VANCE, N.P.

✅

NPI Profile Active May 29, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 29, 2013

Registered at CLEVELAND CLINIC FOUNDATION, 9500 EUCLID AVENUE; A 61, CLEVELAND, OH 441950001 (Tel: 2164444480)

📍

Updated Business Mailing Address May 29, 2013

Registered at CLEVELAND CLINIC FOUNDATION, 9500 EUCLID AVENUE; A 61, CLEVELAND, OH 441950001 (Tel: 2164444480)

👤

Provider Name / Credentials Updated May 29, 2013

Recorded as MELISSA TELENKO, N.P.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2013

Nurse Practitioner (License #NP07798 in OH)

🟢

Initial NPI Registration & Enumeration February 07, 2006

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: 1194798603

Entity Type:

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

Enumeration Date: February 07, 2006

Last Update: November 10, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2000 Auburn Dr, Ste 350

Beachwood, OH 441224327

Phone: 2164173250

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.