MELISSA KLEIN, ACNP-BC appears in the CMS NPPES registry as a Critical Care Medicine Nurse Practitioner provider holding ACNP-BC credentials at 2823 FRESNO ST, FRESNO, CA, 93721, with a listed phone of (559) 499-6450. NPI 1427352491 was issued on 01/05/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KLEIN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 219 prescription claims written by this provider, covering 91 Medicare beneficiaries and totaling roughly $9K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 9.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.333/100 for the 2023 performance year (Quality 82.9398), compared with the national average of 83.1.

Critical Care Medicine Nurse Practitioner is a narrow specialty nationwide, with 1,410 enrolled providers across 50 states and an average of 426 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.