Active NPI 1265882005 Individual Practitioner Female Practitioner

Melanie A Hall , NP

Nurse Practitioner • Madison, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Melanie Hall, NP is a certified Nurse Practitioner practicing in Madison, WI. With approximately 11 years of clinical experience since completing medical education in 2015, Melanie Hall delivers high-quality medical care to the local community at 600 HIGHLAND AVE.

Melanie Hall is affiliated with University Of Wisconsin Medical Foundation Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Highland Ave

Madison, WI 537920001

Telephone 6082651700

Fax 6082632201

Associated Practice Facility / Clinic

🏢 University Of Wisconsin Medical Foundation Facility NPI 1528029204

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Madison, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +0.8 yrs vs City Avg

City Avg: 10.2 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

519 Specialists

Practicing in Madison, WI (4030 Statewide)

Telehealth Adoption Rate

32.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

77.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hall (11 Years) 11 Yrs

Madison Specialty Average (10.2 Years) 10.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes	80	72	$234.00	$52.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	51	$502.00	$112.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	56	$343.00	$76.64
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	48	47	$35.00	$13.13
36415 Insertion of needle into vein for collection of blood sample	18	15	$37.10	$8.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	81	$218.30	$53.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	44	$314.60	$78.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	31	$486.30	$115.20
36415 Insertion of needle into vein for collection of blood sample	23	16	$35.00	$8.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	50	$469.00	$118.43
99213 Established patient office or other outpatient visit, typically 15 minutes	66	59	$204.00	$54.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$294.00	$80.16
36415 Insertion of needle into vein for collection of blood sample	30	22	$33.00	$2.96
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	19	13	$77.50	$6.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	39	$194.00	$55.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	26	$446.00	$119.96
36415 Insertion of needle into vein for collection of blood sample	22	13	$33.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$280.00	$81.47

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	60	58	$266.00	$65.78
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$185.00	$42.52
99441 Telephone medical discussion with physician, 5-10 minutes	15	13	$85.00	$21.26

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	84	68	$254.00	$65.12
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$176.00	$42.15

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	70	60	$246.00	$64.21
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$171.00	$41.89

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	53	47	$237.00	$64.42
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$165.00	$41.65

Medical Specialties & State Licenses

CMS Verified: 2021-10-15

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 6979

(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.

Hospital & Practice Group Affiliations

University Of Wisconsin Medical Foundation Inc

600 Highland Ave, Madison, WI 537920001

Phone: 6082636400

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Sam Lubner , MD

Internal Medicine - Hematology & Oncology

NPI 1003838145

Doctor of Medicine (M.D.)

Samantha Spanbauer , NP

Nurse Practitioner

NPI 1013522911

Nurse Practitioner

Kaitlin Gilmore , NP

Nurse Practitioner

NPI 1073265070

Nurse Practitioner

Dr. Cheryl Czerlanis , MD

Internal Medicine - Medical Oncology

NPI 1083799662

Doctor of Medicine (M.D.)

Blythe Gage , NP

Nurse Practitioner

NPI 1104011014

Nurse Practitioner

Dr. Douglas Mcneel , MD PHD

Internal Medicine - Medical Oncology

NPI 1104892280

MDPHD

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated October 15, 2021

Recorded as MELANIE HALL, NP

✅

NPI Profile Active June 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2016

Registered at 600 HIGHLAND AVE, MADISON, WI 537920001 (Tel: 6082651700)

📍

Updated Business Mailing Address June 13, 2016

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

👤

Provider Name / Credentials Updated June 13, 2016

Recorded as MELANIE SCHMUHL, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2016

Nurse Practitioner (License #6979 in WI)

🟢

Initial NPI Registration & Enumeration June 13, 2016

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: 1265882005

Entity Type:

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

Enumeration Date: June 13, 2016

Last Update: October 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7974 Uw Health Ct

Middleton, WI 535625531

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.