Melissa Marie Formica, NP in Folsom, CA - Medicare Nurse Practitioner

Melissa Marie Formica, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Folsom, California. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dignity Health Medical Foundation and her current practice location is 1730 Prairie City Rd Ste 120, Folsom, California. You can reach out to her office (for appointments etc.) via phone at (916) 351-4800.

Melissa Marie Formica is licensed to practice in California (license number 95022981) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679299382.

Contact Information

	Melissa Marie Formica, NP
	1730 Prairie City Rd Ste 120, Folsom, CA 95630-9594
	(916) 351-4800
	(916) 357-6194

Map and Direction

Provider's Profile

Full Name	Melissa Marie Formica
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1730 Prairie City Rd Ste 120, Folsom, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Melissa Marie Formica graduated from nursing school in 2022

NPI Data:

NPI Number: 1679299382
Provider Enumeration Date: 10/13/2022
Last Update Date: 06/26/2025

Medicare PECOS Information:

PECOS PAC ID: 9830558410
Enrollment ID: I20230629001426

Medical Identifiers

Medical identifiers for Melissa Marie Formica such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679299382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95022981 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy General Hospital	Sacramento, CA	Hospital
Mercy Hospital Of Folsom	Folsom, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dignity Health Medical Foundation	7810800661	1170

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Melissa Marie Formica allows following entities to bill medicare on her behalf.

Entity Name	Dignity Health Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709

Entity Name	Orthopedic Trauma Surgeons Of Northern California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821031741 PECOS PAC ID: 5698781938 Enrollment ID: O20060223000806

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa Marie Formica is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Melissa Marie Formica, NP 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () -	Melissa Marie Formica, NP 1730 Prairie City Rd Ste 120, Folsom, CA 95630-9594 Ph: (916) 351-4800

Reviews and Comments

Nurse Practitioner Nurses in Folsom, CA

Alaina Rae Niebuhr, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1580 Creekside Dr Ste 250, Folsom, CA 95630 Phone: 916-983-8695
Sally Kei Mason, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Plaza Dr Ste 170, Folsom, CA 95630 Phone: 916-351-9400
Annika Elizabeth Dethlefs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 82 Clarksville Rd Ste 120, Folsom, CA 95630 Phone: 916-983-8868
Mrs. Josephine P Williams, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 Lowney Ct, Folsom, CA 95630 Phone: 916-984-3792
Li Kelly, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 306 Flower Dr, Folsom, CA 95630 Phone: 916-205-5055 Fax: 916-205-5055
Leesa Avery Bingham, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 82 Clarksville Rd Ste 120, Folsom, CA 95630 Phone: 916-983-8868
Laura A Galindo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Creekside Dr Ste 3300, Folsom, CA 95630 Phone: 866-302-0605 Fax: 916-618-0745

Melissa Marie Formica, NP - Medicare Nurse Practitioner in Folsom, CA