Melissa Edginton, NP-C
NPI 1093136269 · Family Nurse Practitioner · Fresno, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melissa Edginton, NP-C is a Family Nurse Practitioner provider in Fresno, CA (NPI 1093136269).
Provider details
- NPI number
- 1093136269
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 95000180 (CA)
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 tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
333 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 197 | $111 |
| Telephone Medical Discussion With Physician, 5-10 Minutes99441 | 70 | $49 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 53 | $79 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 13 | $78 |
Typical Medicare-allowed amounts for these services range $49–$111 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Anastrozole | 188 | 72 |
| Tamoxifen Citrate | 57 | 20 |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er | 49 | 20 |
| Letrozole | 41 | 17 |
| Exemestane | 40 | 15 |
| Alendronate Sodium | 23 | — |
| Palbociclibbrand: Ibrance | 17 | — |
| Olaparib |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,937 across 83 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-12-13
- Last updated
- 2023-04-11
- Certified
- 2023-04-11
Frequently asked questions
- What is Melissa Edginton's NPI number?
- Melissa Edginton's National Provider Identifier (NPI) is 1093136269, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melissa Edginton's specialty?
- Melissa Edginton is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Melissa Edginton located?
- Melissa Edginton's practice location on file with NPPES is 2210 E Illinois Ave Ste 408, Fresno, CA 93701-2184.
- What is Melissa Edginton's phone number?
- The practice phone number listed in the NPPES registry for Melissa Edginton is (559) 443-2694.
- Does Melissa Edginton accept Medicare?
- Melissa Edginton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melissa Edginton's NPI active?
- Yes — Melissa Edginton's NPI (1093136269) is active in the NPPES registry as of the last update on 2023-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.