Melisa Anna Keuneke , NP
Nurse Practitioner • Van Wert, OH
1178 Professional Dr
Van Wert, OH 458912461
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 21, 2018; this date does not establish years in practice.
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Published CMS data list 1,467 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 341 service units.
- G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 258 service units.
- 99213 — Established patient outpatient office visit: 227 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 21 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 5,162 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Levothyroxine Sodium — 298 prescription fills, including refills.
- Atorvastatin Calcium — 254 prescription fills, including refills.
- Escitalopram Oxalate — 241 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 98 records in the table · Guide: How to read Medicare Part D prescriber data
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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.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 616 in 2020 to 1,467 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1178 Professional Dr
Van Wert, OH 458912461
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Terrence L Johnson And Robert C Adams Ptr. 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
2018
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
328 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $84,927 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 $63,946 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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
7,649 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
$188,571 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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: $194.95 across 11 records.
By nature of payment
- Food and Beverage: $194.95 across 11 records.
Reporting-company totals (3 largest of 9)
- Otsuka America Pharmaceutical, Inc.: $34.75 across 2 records.
- ABBVIE INC.: $32.73 across 2 records.
- Astellas Pharma US Inc: $24.63 across 1 record.
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.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2018
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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?”
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.
Enrolled in Medicare (PECOS)
Melisa Keuneke 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.
Can order Medicare-covered services
CMS lists Melisa Keuneke 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Van Wert 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 Van Wert have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% 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 Van Wert have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 90% 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 Van Wert have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 90% 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 Van Wert have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 75% 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 Van Wert have Medicare Part D data for 2024 to compare.
5 active clinicians are listed under Nurse Practitioner with a practice address in Van Wert, OH (4,257 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 138% from 616 in 2020 to 1,467 in 2024.
- 2020: 616
- 2021: 933
- 2022: 1,097
- 2023: 1,339
- 2024: 1,467
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Medicare-allowed amount
Medicare-allowed amount increased 134% from $36,218 in 2020 to $84,927 in 2024.
- 2020: $36,218
- 2021: $64,190
- 2022: $72,729
- 2023: $82,787
- 2024: $84,927
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Paid by Medicare
Paid by Medicare increased 155% from $25,056 in 2020 to $63,946 in 2024.
- 2020: $25,056
- 2021: $46,832
- 2022: $55,574
- 2023: $61,898
- 2024: $63,946
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 258% from 1,441 in 2020 to 5,162 in 2024.
- 2020: 1,441
- 2021: 1,729
- 2022: 2,573
- 2023: 3,780
- 2024: 5,162
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30-day fills
30-day fills increased 198% from 2,563 in 2020 to 7,649 in 2024.
- 2020: 2,563
- 2021: 2,936
- 2022: 4,265
- 2023: 5,762
- 2024: 7,649
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Part D drug cost
Part D drug cost increased 905% from $18,763 in 2020 to $188,571 in 2024.
- 2020: $18,763
- 2021: $39,184
- 2022: $62,263
- 2023: $82,467
- 2024: $188,571
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $27.09 in 2021 to $194.95 in 2025.
- 2021: $27.09
- 2022: $39.94
- 2023: $119.87
- 2024: $135.75
- 2025: $194.95
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
Program year 2025 (payments made January 1 – December 31, 2025): 11 records totaling $194.95.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
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Veozah | General | $24.63 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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GARDASIL 9 | General | $23.65 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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REXULTI | General | $18.99 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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UBRELVY | General | $17.87 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $17.65 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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TRELEGY ELLIPTA | General | $17.00 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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NURTEC ODT | General | $15.98 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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REXULTI | General | $15.76 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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QULIPTA | General | $14.86 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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EVENITY | General | $14.63 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $13.93 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017–2023 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, 2018–2024; 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 |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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341 | 211 | $150.00 | $101.86 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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258 | 167 | $20.00 | $13.30 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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227 | 162 | $115.00 | $72.44 |
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99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
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75 | 12 | $145.00 | $102.53 |
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81000
Manual urinalysis test with examination using microscope, non-automated
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68 | 43 | $18.24 | $3.94 |
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J0696
Injection, ceftriaxone sodium, per 250 mg
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68 | 13 | $21.00 | $0.46 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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65 | 65 | $147.69 | $100.52 |
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96372
Injection of drug or substance under skin or into muscle
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51 | 24 | $40.00 | $11.34 |
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87804
Detection test by immunoassay with direct visual observation for influenza virus
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44 | 20 | $40.91 | $16.22 |
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87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
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41 | 37 | $68.41 | $34.62 |
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G0444
Annual depression screening, 5 to 15 minutes
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40 | 40 | $23.75 | $14.45 |
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G0008
Administration of influenza virus vaccine
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27 | 27 | $40.00 | $29.26 |
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71046
X-ray of chest, 2 views
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25 | 25 | $70.00 | $20.92 |
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90653
Influenza vaccine, inactivated
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23 | 23 | $86.00 | $78.26 |
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90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
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20 | 20 | $300.00 | $275.64 |
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G0009
Administration of pneumococcal vaccine
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20 | 20 | $39.25 | $28.93 |
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G0136
Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes
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20 | 20 | $25.00 | $14.14 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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18 | 18 | $59.17 | $10.75 |
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99495
Transitional care management services for problem of at least moderate complexity
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13 | 12 | $218.85 | $164.80 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
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12 | 12 | $150.00 | $30.04 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
11 | 11 | $132.27 | $29.23 |
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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 298 | 11,328 | $2,145.93 | 46 |
| Atorvastatin Calcium | Atorvastatin Calcium | 254 | 10,211 | $1,836.47 | 48 |
| Escitalopram Oxalate | Escitalopram Oxalate | 241 | 5,520 | $2,760.21 | 26 |
| Losartan Potassium | Losartan Potassium | 206 | 8,140 | $1,224.06 | 32 |
| Pantoprazole Sodium | Pantoprazole Sodium | 180 | 6,360 | $1,831.79 | 35 |
| Gabapentin | Gabapentin | 130 | 3,599 | $1,325.70 | 20 |
| Furosemide | Furosemide | 128 | 3,367 | $1,587.22 | 24 |
| Donepezil Hcl | Donepezil Hcl | 126 | 1,224 | $1,093.89 | — |
| Prednisone | Prednisone | 125 | 718 | $253.88 | 106 |
| Metformin Hcl | Metformin Hcl | 106 | 5,463 | $442.50 | 20 |
| Omeprazole | Omeprazole | 105 | 5,428 | $647.74 | 23 |
| Cefdinir | Cefdinir | 97 | 800 | $1,513.12 | 74 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 94 | 2,665 | $1,956.44 | 26 |
| Trazodone Hcl | Trazodone Hcl | 84 | 4,255 | $761.29 | 19 |
| Simvastatin | Simvastatin | 83 | 2,900 | $421.63 | 13 |
| Bupropion Xl | Bupropion Hcl | 83 | 3,556 | $1,610.99 | 17 |
| Mirtazapine | Mirtazapine | 81 | 809 | $625.38 | — |
| Olanzapine | Olanzapine | 80 | 575 | $567.39 | — |
| Lisinopril | Lisinopril | 78 | 6,660 | $416.13 | 30 |
| Amlodipine Besylate | Amlodipine Besylate | 76 | 4,733 | $276.90 | 21 |
| Spironolactone | Spironolactone | 76 | 719 | $740.72 | — |
| Montelukast Sodium | Montelukast Sodium | 71 | 3,326 | $470.08 | 14 |
| Metoprolol Succinate | Metoprolol Succinate | 67 | 3,404 | $778.21 | 15 |
| Clopidogrel | Clopidogrel Bisulfate | 66 | 1,615 | $395.81 | — |
| Alprazolam | Alprazolam | 65 | 1,866 | $337.06 | 19 |
(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
NUCC Taxonomy Code: 363L00000X
(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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20180510002199
OH
6002170461
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
Terrence L Johnson And Robert C Adams Ptr
1178 Professional Dr, Van Wert, OH 458912461
Phone: 4192386251
Secondary Practice Locations
1178 Professional Dr
Van Wert, OH 458912461
Phone: 4192386251
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychologist
Doctor of Psychology (Psy.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant - Medical
Physician Assistant
Physician Assistant - Medical
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Nurse Practitioner (license number reported to NPPES: OH APRN.CNP.022586)
NPI status registered as active in NPPES database
Registered at 1178 PROFESSIONAL DR, VAN WERT, OH 458912461 (Tel: 4192386251)
Registered at 1178 PROFESSIONAL DR, VAN WERT, OH 458912461 (Tel: 4192386251)
Recorded as MELISA KEUNEKE, NP
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Van Wert
Mailing Address
1178 Professional Dr
Van Wert, OH 458912461
Phone: 4192386251