Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Melissa Anne Vance , FNP-BC, DCNP

Nurse Practitioner • Ashtabula, OH

Active NPI 1194798603 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2141 Lake Ave
Ashtabula, OH 440043435

Call 4404430442 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2141 Lake Ave

Ashtabula, OH 440043435

Telephone 4404430442
Fax 4407558010
Organization at the Same NPPES Address or Phone
Cleveland Behavioral Health, Llc Facility NPI 1043654924

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Apex Dermatology And Skin Surgery Center, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2003

Medicare patients

754 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $254,411 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $175,095 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

3,021 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,726,916 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $2,787.79 across 154 records.

By nature of payment

  • Food and Beverage: $2,781.02 across 153 records.
  • Education: $6.77 across 1 record.

Reporting-company totals (3 largest of 18)

  • ABBVIE INC.: $660.21 across 32 records.
  • Regeneron Pharmaceuticals, Inc.: $324.74 across 13 records.
  • LEO Pharma Inc.: $307.11 across 15 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

23 years (graduated 2003)

CMS Doctors and Clinicians data list 2003 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Melissa Vance has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Melissa Vance as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Ashtabula and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: 200. Middle half: 88 to 433.

Too few clinicians listed under Nurse Practitioner in Ashtabula have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: $14,983. Middle half: $6,723 to $30,403.

Too few clinicians listed under Nurse Practitioner in Ashtabula have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: $11,287. Middle half: $4,812 to $22,230.

Too few clinicians listed under Nurse Practitioner in Ashtabula have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,946 clinicians with data). Median for this group: 341. Middle half: 95 to 1,344.

Too few clinicians listed under Nurse Practitioner in Ashtabula have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,946 clinicians with data). Median for this group: $17,171. Middle half: $1,153 to $140,965.

Too few clinicians listed under Nurse Practitioner in Ashtabula have Medicare Part D data for 2024 to compare.

5 active clinicians are listed under Nurse Practitioner with a practice address in Ashtabula, OH (4,257 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 154 records totaling $2,787.79.

Manufacturer Payment Nature Product Type Amount ($)
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $75.77
Galderma Laboratories, L.P.
Food and Beverage
In-kind items and services
— General $50.00
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
LIBTAYO General $37.76
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
LIBTAYO General $35.65
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $34.15
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $33.22
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
SPEVIGO General $32.78
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
LIBTAYO General $32.19
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
SPEVIGO General $31.48
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $30.68
ABBVIE INC.
Food and Beverage
In-kind items and services
RINVOQ General $30.35
LEO Pharma Inc.
Food and Beverage
In-kind items and services
ADBRY General $30.00
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $30.00
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $30.00
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $29.84
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
LIBTAYO General $29.51
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
SPEVIGO General $29.43
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
— General $29.38
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
— General $29.22
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $29.11
LEO Pharma Inc.
Food and Beverage
In-kind items and services
ADBRY General $28.98
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $28.93
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $28.53
Eli Lilly and Company
Food and Beverage
In-kind items and services
EBGLYSS General $28.32
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $27.96

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
1,629 234 $12.33 $5.08
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
895 510 $173.51 $72.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
593 342 $245.13 $102.32
17000 Destruction of precancer skin growth, 1 growth
519 335 $127.45 $43.13
17110 Destruction of skin growth, 1-14 growths
228 167 $212.09 $82.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
159 28 $1.95 $0.96
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
134 97 $226.83 $76.79
17004 Destruction of precancer skin growth, 15 or more growths
94 62 $314.03 $130.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
86 68 $107.19 $45.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
71 71 $212.97 $89.38
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
67 59 $256.14 $97.83
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
60 52 $255.88 $95.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
56 56 $320.60 $132.61
11300 Shaving of skin growth of body, arms, or legs, 0.5 cm or less
54 46 $186.94 $50.71
17111 Destruction of skin growth, 15 or more growths
43 21 $248.62 $104.25
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
42 34 $290.60 $114.62
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
35 33 $228.44 $82.19
11310 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
35 32 $215.23 $68.29
11900 Injection into skin growth, 1-7 growths
26 16 $107.82 $37.43
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
25 22 $259.70 $87.56
11104 Punch biopsy, first skin growth
19 18 $233.18 $95.26
11102 Biopsy of related skin growth, first growth
14 14 $186.33 $58.80
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
14 13 $196.73 $64.72
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less
13 11 $490.52 $205.39

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Triamcinolone Acetonide Triamcinolone Acetonide 315 10,059 $4,590.54 217
Ketoconazole Ketoconazole 259 7,669 $3,375.25 122
Mupirocin Mupirocin 239 3,880 $1,377.21 188
Clobetasol Propionate Clobetasol Propionate 220 6,466 $10,784.07 129
Doxycycline Hyclate Doxycycline Hyclate 219 6,193 $3,560.44 94
Hydrocortisone Hydrocortisone 125 2,964 $690.44 84
Clindamycin Phosphate Clindamycin Phosphate 117 3,525 $4,812.25 50
Fluocinonide Fluocinonide 86 2,565 $4,935.75 45
Betamethasone Dipropionate Betamethasone Dipropionate 76 2,219 $3,139.86 41
Fluorouracil Fluorouracil 71 1,996 $6,255.64 62
Humira(Cf) Pen Adalimumab 71 1,990 $652,965.00 —
Dupixent Pen Dupilumab 61 1,708 $247,071.51 —
Mometasone Furoate Mometasone Furoate 59 1,801 $1,067.83 41
Minoxidil Minoxidil 51 2,423 $317.36 14
Cephalexin Cephalexin 49 927 $458.86 40
Dutasteride Dutasteride 49 2,100 $1,326.89 12
Otezla Apremilast 48 1,440 $196,251.47 —
Nystatin Nystatin 41 1,136 $518.63 21
Minocycline Hcl Minocycline Hcl 39 1,138 $978.35 11
Opzelura Ruxolitinib Phosphate 35 1,050 $69,149.06 —
Fluticasone Propionate Fluticasone Propionate 34 959 $956.88 24
Hydroxyzine Hcl Hydroxyzine Hcl 29 930 $157.19 11
Fluocinolone Acetonide Fluocinolone Acetonide 29 900 $1,850.46 17
Clindamycin Hcl Clindamycin Hcl 28 740 $524.10 15
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 27 645 $515.05 11

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES OH RN.289913

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2873912 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20041209000028

Enrollment State Jurisdiction

OH

PECOS Control ID

3779549944

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Apex Dermatology And Skin Surgery Center, Llc

7580 Auburn Rd, Painesville, OH 440779618

Phone: 4403527546

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. James Lavery , MD

Family Medicine

NPI 1225561194

Doctor of Medicine (M.D.)

Kristina Petkovic , CNP

Nurse Practitioner

NPI 1942857404

Certified Nurse Practitioner

Sophia Thorman , PA-C

Physician Assistant

NPI 1861087322

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
👤
Provider Name / Credentials Updated November 10, 2025

Recorded as MELISSA VANCE, FNP-BC, DCNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2025

Nurse Practitioner (license number reported to NPPES: OH RN.289913)

📍
Updated Practice Location October 20, 2025

Registered at 2141 LAKE AVE, ASHTABULA, OH 440043435 (Tel: 4404430442)

📍
Updated Business Mailing Address October 20, 2025

Registered at 2000 AUBURN DR, STE 350, BEACHWOOD, OH 441224327 (Tel: 2164173250)

👤
Provider Name / Credentials Updated October 20, 2025

Recorded as MELISSA VANCE, C.N.P.

📍
Updated Business Mailing Address July 21, 2022

Registered at 5800 LANDERBROOK DR, STE 100, MAYFIELD HEIGHTS, OH 441246510 (Tel: 2164173250)

📍
Updated Business Mailing Address September 17, 2018

Registered at 2323 LEE RD, CLEVELAND HEIGHTS, OH 441183413 (Tel: 2164173250)

👤
Provider Name / Credentials Updated September 17, 2018

Recorded as MELISSA VANCE, N.P.

âś…
NPI Profile Active May 29, 2013

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) May 29, 2013

Registered at CLEVELAND CLINIC FOUNDATION, 9500 EUCLID AVENUE; A 61, CLEVELAND, OH 441950001 (Tel: 2164444480)

📍
Business Mailing Address (Initial Record) May 29, 2013

Registered at CLEVELAND CLINIC FOUNDATION, 9500 EUCLID AVENUE; A 61, CLEVELAND, OH 441950001 (Tel: 2164444480)

👤
Provider Name / Credentials (Initial Record) May 29, 2013

Recorded as MELISSA TELENKO, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2013

Nurse Practitioner (license number reported to NPPES: OH NP07798)

🟢
Initial NPI Registration & Enumeration February 07, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194798603
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2006
Last Update: November 10, 2025
Sole Proprietor: No

Other Nurse Practitioners in Ashtabula

Healthcare providers in Ashtabula

Mailing Address

2000 Auburn Dr, Ste 350

Beachwood, OH 441224327

Phone: 2164173250

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.