Individual provider Active NPI

Melissa Anne Vance, FNP-BC, DCNP

  • Nurse Practitioner
  • Ashtabula, OH
National Provider Identifier
1194798603
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN.289913 Issued in OH
Practice address
2141 Lake Ave
Ashtabula, OH 44004-3435
Phone
(440) 443-0442
Fax
(440) 755-8010
NPI assigned
Feb 7, 2006
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN.289913 OH Primary

Addresses

Primary practice location

2141 Lake Ave
Ashtabula, OH 44004-3435

Mailing address

2000 Auburn Dr
Ste 350
Beachwood, OH 44122-4327
Phone (216) 417-3250

Other identifiers 1

IdentifierTypeStateIssuer
2873912MedicaidOH

Other names 1

  • Mrs. Melissa Telenko Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209000028 OH Practitioner - Nurse Practitioner 3779549944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Dermatology and Skin Surgery Center, LLCGroup PAC ID 1052589777, 52 clinicians

Practice addresses (Care Compare)

7580 Auburn Rd
Suite 301
Painesville, OH 44077-9618
Phone (440) 352-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
78.38
Promoting interoperability
92
Improvement activities
40
Cost
79.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.289913OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Outreach Wellness Center CurrentSince Oct 1, 2021 Accepting new patients
Apex Dermatology and Skin Surgery Center, LLC CurrentSince Jul 1, 2022 Accepting new patients
Prosearch Healthcare Inc Family Past Accepting new patients
Gary R Kutsikovich MD and Associates Inc PastSince Jul 1, 2022 Accepting new patients

Locations

2141 Lake Ave
Ashtabula, OH 44004
Phone (440) 443-0442

2323 Lee Rd
Cleveland Hts, OH 44118
Phone (216) 235-0408

7580 Auburn Rd
Ste 301
Concord Township, OH 44077
Phone (440) 352-7546

29111 Cedar Rd
Mayfield Hts, OH 44124
Phone (440) 646-1600

5800 Landerbrook Dr
Ste 100
Mayfield Hts, OH 44124
Phone (323) 800-2799

Interoperability endpoints

  • Direct secure messaging: mvance@apexskin.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1194798603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR",
            "address_2": "STE 350",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224327",
            "telephone_number": "216-417-3250",
            "fax_number": "216-417-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043435",
            "telephone_number": "440-443-0442",
            "fax_number": "440-755-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC, DCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN.289913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2873912",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "TELENKO",
            "prefix": "MRS.",
            "credential": "FNP-BC, DCNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashtabula, OH

Sources for this page

Verify at the official NPI Registry.