Melissa Raffaele, FNP-BC
NPI 1962727081 · Family Nurse Practitioner · Altoona, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melissa Raffaele, FNP-BC is a Family Nurse Practitioner provider in Altoona, PA (NPI 1962727081).
Provider details
- NPI number
- 1962727081
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- G-0000522 (DE)
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
16 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
704 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 | 214 | $72 |
| 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'SG2211 | 181 | $13 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 159 | $102 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 150 | $28 |
Typical Medicare-allowed amounts for these services range $13–$102 (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 · 46 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 211 | 62 |
| Levothyroxine Sodium | 137 | 52 |
| Empagliflozinbrand: Jardiance | 133 | 40 |
| Lisinopril | 92 | 35 |
| Atorvastatin Calcium | 87 | 29 |
| Rosuvastatin Calcium | 87 | 30 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$509 across 8 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
- 2010-03-31
- Last updated
- 2023-11-10
- Certified
- 2023-11-10
Frequently asked questions
- What is Melissa Raffaele's NPI number?
- Melissa Raffaele's National Provider Identifier (NPI) is 1962727081, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melissa Raffaele's specialty?
- Melissa Raffaele is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Melissa Raffaele located?
- Melissa Raffaele's practice location on file with NPPES is 1414 N 9th Ave, Altoona, PA 16601-6326.
- What is Melissa Raffaele's phone number?
- The practice phone number listed in the NPPES registry for Melissa Raffaele is (814) 946-1655.
- Does Melissa Raffaele accept Medicare?
- Melissa Raffaele is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melissa Raffaele's NPI active?
- Yes — Melissa Raffaele's NPI (1962727081) is active in the NPPES registry as of the last update on 2023-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.