Melissa Theodore, NP
NPI 1912294083 · Nurse Practitioner · Evanston, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melissa Theodore, NP is a Nurse Practitioner provider in Evanston, IL (NPI 1912294083).
Provider details
- NPI number
- 1912294083
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 277000045 (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 tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
843 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) |
|---|---|---|
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 195 | $109 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 132 | $94 |
| Residence Visit for Established Patient With High Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99350 | 111 | $158 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 | 105 | $135 |
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 79 | $66 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 76 | 11 |
| Atorvastatin Calcium | 68 | — |
| Olanzapine | 52 | — |
| Trazodone Hcl | 36 | — |
| Amlodipine Besylate | 32 | — |
| Furosemide | 24 | — |
| Rivaroxabanbrand: Xarelto | 24 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$117 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
Additional practice locations (1)
- 4600 N Ravenswood AveChicago, IL 60640-4510Phone: (773) 561-6282Fax: (773) 561-7612
Registry dates
- Enumerated
- 2011-07-08
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Frequently asked questions
- What is Melissa Theodore's NPI number?
- Melissa Theodore's National Provider Identifier (NPI) is 1912294083, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melissa Theodore's specialty?
- Melissa Theodore is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Melissa Theodore located?
- Melissa Theodore's practice location on file with NPPES is 2650 Ridge Ave, Evanston, IL 60201-1700.
- What is Melissa Theodore's phone number?
- The practice phone number listed in the NPPES registry for Melissa Theodore is (847) 570-1010.
- Does Melissa Theodore accept Medicare?
- Melissa Theodore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melissa Theodore's NPI active?
- Yes — Melissa Theodore's NPI (1912294083) is active in the NPPES registry as of the last update on 2026-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.