2026 NPPES data Acute Care Nurse Practitioner NPI 1245386275 CNP
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Ellen Melcher, CNP

Acute Care Nurse Practitioner in Rochester Hills, Michigan.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,697 in Acute Care Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
81
Medicare Part D claims · 67 beneficiaries · Acute Care Nurse Practitioner avg: 576
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.2/100
▲ 1 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Ellen Melcher, CNP reported a CMS MIPS final score of 84.2/100 - above the 83.1 national average - and filed 81 Medicare Part D claims in 2023.

84.2/100
MIPS score · +1 vs avg
81
Part D claims, 2023
85%
generic prescribing

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Ellen Melcher, CNP's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

84 45th percentile higher than 45% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Ellen Melcher, CNP sits

This provider among acute care nurse practitioner peers

Across the 3,864 acute care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Ellen Melcher, CNP writes more Part D claims than 32% of them and scores higher on MIPS quality than 41% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.269.392.4Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 28Ellen Melcher, CNP-Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 41
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one acute care nurse practitioner peer from a representative sample of 60; the gold marker is Ellen Melcher, CNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Ellen Melcher, CNP?

Near national average

NPI registry status

Active

Issued 01/25/2007

NPI 1245386275

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

24,697 US NPIs in this specialty

Medicare Part D claims

81 86% vs specialty avg

2023 prescription claims

Specialty avg: 576

MIPS final score

84.2/100 1.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Acute Care Nurse Practitioner compares to other specialties among Michigan providers

Michigan providers
Behavior Technician - 21.4%Behavior Technician21.4%Clinical Social Worker - 5.8%Clinical Social Worker5.8%Student in an Organized Health Care Education/Training Program - 3.6%Student in an Organized Health Care Education/Training Program3.6%Physical Therapist - 3.4%Physical Therapist3.4%Social Worker - 3.4%Social Worker3.4%Pharmacist - 3%Pharmacist3%Acute Care Nurse Practitioner - 0.3%Acute Care Nurse Practitioner0.3%
Largest specialties in Michigan (% of in-state providers)

Medicare quality performance, MIPS

Ellen Melcher, CNP's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average

Near national average
MIPS Final Score
84.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Acute Care Nurse Practitioner) - 84.2/100 vs national avg 83.1

0%100%National avg83%84.2%
MIPS final score (Acute Care Nurse Practitioner) - 84.2/100 vs national avg 83.1
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Ellen Melcher, CNP appears in the CMS NPPES registry as an Acute Care Nurse Practitioner provider holding CNP credentials at 2494 S ROCHESTER RD, Rochester Hills, MI, 48307, with a listed phone of (248) 299-9850. NPI 1245386275 was issued on 01/25/2007.

Medicare Part D records for calendar year 2023 show 81 prescription claims written by this provider, covering 67 Medicare beneficiaries and totaling roughly $5K in drug spend, split 15% brand-name and 85% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.2/100 for the 2023 performance year (Quality 90.6, Cost 35), compared with the national average of 83.1.

Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,697 enrolled providers across 53 states and an average of 576 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.

Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2494 S ROCHESTER RD
Rochester Hills, MI 48307

Provider Details

NPI 1245386275
Specialty Acute Care Nurse Practitioner
Credentials CNP
Gender Female
NPI Issued 01/25/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

84.193
Final Score
Avg: 83.1
90.6115
Quality
34.9949
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Ellen Melcher, CNP bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Robert L Marchese MD Diseases OF The Lung PLLC
Roseville, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - Michigan MI-BOM 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 - they are NOT specific to Ellen Melcher, CNP. To verify Ellen Melcher, CNP's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Ellen Melcher, CNP - brand share 15.0%
Acute Care Nurse Practitioner average

15% brand-name claims vs 85% generic, on 81 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

81
Total Claims
$5K
Total Drug Cost
67
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
81
Total Day Supply
916
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$4K
Generic Drug Cost
$490

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
2.85
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Methylprednisolone
34
Prednisone
34

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Acute Care Nurse Practitioner Overview

How Ellen Melcher, CNP fits within the Acute Care Nurse Practitioner landscape nationally.

24,697
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider

Ellen Melcher, CNP's 81 claims are below the specialty average of 576.

Nearby Acute Care Nurse Practitioner Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Melcher.

Compare Acute Care Nurse Practitioner nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Michigan medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Acute Care Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Ellen Melcher, CNP's specialty?
Ellen Melcher, CNP specializes in Acute Care Nurse Practitioner and practices in Rochester Hills, Michigan. Credentials: CNP.
How much does Ellen Melcher, CNP prescribe under Medicare Part D?
In 2023, Ellen Melcher, CNP wrote 81 Medicare Part D claims totaling $5K in drug costs for 67 beneficiaries.
What is Ellen Melcher, CNP's Medicare quality score?
Ellen Melcher, CNP has a CMS MIPS Final Score of 84.2/100 (Quality: 90.6, Cost: 35). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ellen Melcher, CNP located?
Ellen Melcher, CNP is located at 2494 S ROCHESTER RD, Rochester Hills, MI, 48307. Phone: (248) 299-9850.
What is Ellen Melcher, CNP's NPI number?
Ellen Melcher, CNP's National Provider Identifier (NPI) is 1245386275, issued on 01/25/2007.
Does Ellen Melcher, CNP prescribe more brand-name or generic drugs?
Ellen Melcher, CNP's prescribing is 15% brand-name and 85% generic drugs by claim count, with $4K in brand drug costs.
How many Acute Care Nurse Practitioner providers are there in the US?
There are 24,697 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 576 Medicare Part D claims per year.
What drugs does Ellen Melcher, CNP prescribe most often?
Based on 2023 Medicare Part D data, Ellen Melcher, CNP's most frequently prescribed drugs include Methylprednisolone, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ellen Melcher, CNP accept Medicare?
Ellen Melcher, CNP appears in CMS Medicare data with 81 Part D claims and 67 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ellen Melcher, CNP's credentials?
Ellen Melcher, CNP's NPI is 1245386275 with credentials CNP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.