MELISSA RITZMAN THEODORE NP NPI 1912294083

NPI Details

Melissa Ritzman Theodore, NP is an adult health nurse practitioner in Chicago, IL with 16 years of experience. Melissa Ritzman Theodore, NP NPI is 1912294083. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2010

The provider's business location address is:

4600 N RAVENSWOOD AVE
CHICAGO, IL
ZIP 60640-510
Phone: (773) 561-6282
Fax: (773) 561-7612

The NPI 1912294083 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
• Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
• Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
• Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
• Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
• New patient custodial care facility, group care, or assisted living visit, typically 75 minutes (HCPCS:99328)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 7/8/2011 and was last updated on 4/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: