Melanie Cross, FNP
NPI 1093197410 · Family Nurse Practitioner · Mount Vernon, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melanie Cross, FNP is a Family Nurse Practitioner provider in Mount Vernon, IL (NPI 1093197410).
Provider details
- NPI number
- 1093197410
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 309008550 (IL)
Specialties & taxonomies
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
11 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
622 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 440 | $73 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 91 | $11 |
| Automated Urinalysis Test81003 | 75 | $2 |
| Inhalation Treatment for Airway Obstruction Or Sputum Production94640 | 16 | $6 |
Typical Medicare-allowed amounts for these services range $2–$73 (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 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 83 | 80 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 76 | 71 |
| Cephalexin | 61 | 58 |
| Doxycycline Hyclate | 40 | 38 |
| Azithromycin | 31 | 31 |
| Ciprofloxacin Hcl | 24 | 22 |
| Fluticasone Propionate | 23 | 22 |
| Clindamycin Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$17 across 1 record (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
- 2015-06-22
- Last updated
- 2020-10-30
- Certified
- 2020-10-30
Frequently asked questions
- What is Melanie Cross's NPI number?
- Melanie Cross's National Provider Identifier (NPI) is 1093197410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melanie Cross's specialty?
- Melanie Cross is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Melanie Cross located?
- Melanie Cross's practice location on file with NPPES is 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262.
- What is Melanie Cross's phone number?
- The practice phone number listed in the NPPES registry for Melanie Cross is (618) 242-3778.
- Does Melanie Cross accept Medicare?
- Melanie Cross is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melanie Cross's NPI active?
- Yes — Melanie Cross's NPI (1093197410) is active in the NPPES registry as of the last update on 2020-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.