Irma Melgar
NPI 1013742493 · Family Nurse Practitioner · Chicago, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Irma Melgar is a Family Nurse Practitioner provider in Chicago, IL (NPI 1013742493).
Provider details
- NPI number
- 1013742493
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209030457 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
1 yr in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
310 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 203 | $109 |
| Physician Or Allowed Practitioner Re-Certification for Medicare-Covered Home Health Services Under a Home Health Plan of Care (patient Not Present), Including Contacts With Home Health Agency and Review of Reports of Patient Status Required By Physicians aG0179 | 31 | $36 |
| Advance Care Planning, First 30 Minutes99497 | 27 | $70 |
| Residence Visit for New Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99344 | 25 | $121 |
| Physician Or Allowed Practitioner Certification for Medicare-Covered Home Health Services Under a Home Health Plan of Care (patient Not Present), Including Contacts With Home Health Agency and Review of Reports of Patient Status Required By Physicians andG0180 | 24 | $46 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-04
- Last updated
- 2024-12-15
- Certified
- 2024-12-15
Frequently asked questions
- What is Irma Melgar's NPI number?
- Irma Melgar's National Provider Identifier (NPI) is 1013742493, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Irma Melgar's specialty?
- Irma Melgar is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Irma Melgar located?
- Irma Melgar's practice location on file with NPPES is 2003 W Fulton St # 3030, Chicago, IL 60612-2345.
- What is Irma Melgar's phone number?
- The practice phone number listed in the NPPES registry for Irma Melgar is (312) 243-2223.
- Does Irma Melgar accept Medicare?
- Irma Melgar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Irma Melgar's NPI active?
- Yes — Irma Melgar's NPI (1013742493) is active in the NPPES registry as of the last update on 2024-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.