Melissa Marie Formica, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95022981 Issued in CA

Practice address

1730 Prairie City Rd Ste 120
Folsom, CA 95630-9594

Phone

(916) 351-4800

Fax

(916) 357-6194

NPI assigned

Oct 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa M Marquez-Formica Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Marshall Medical CenterGroup PAC ID 7517875859, shared by 7 NPIs, 168 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy General Hospital Hospital, Sacramento, CA, CCN 050017
• Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414
• Methodist Hospital of Sacramento Hospital, Sacramento, CA, CCN 050590

Merit-based Incentive Payment System (MIPS)

Final score

99.64 of 100Reported as apm

Quality

86.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

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

• Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1700803418
  Medicare reassignment Care Compare group NPD
• Orthopedic Trauma Surgeons of Northern California

  • Orthopaedic Trauma Physician
  • Carmichael, CA
  • NPI 1821031741
  Medicare reassignment NPD
• Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Redding, CA
  • NPI 1912288432
  NPD
• Dignity Health

  • General Acute Care Hospital
  • Folsom, CA
  • NPI 1356389878
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1487694857
  NPD (past)
• Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Rancho Cordova, CA
  • NPI 1568489268
  NPD (past)

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

• Dignity Community Care

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1467560599
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Folsom, CA
  • NPI 1356389878
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1487694857
  Care Compare affiliation

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1679299382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 PRAIRIE CITY RD STE 120",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309594",
            "telephone_number": "916-351-4800",
            "fax_number": "916-357-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMICA",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95022981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MARQUEZ-FORMICA",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Foothills Speech & Language, Inc.
• Emiley Fong Ford, M.D.
• Justin Paul Ford
• Raven Ford
• Zahra Forghany
• Janet Forsythe, MSOT, OTR/L
• Candace Merita Fortune, MD
• Essence Fortune
• Otis Foster Jr.
• Taniqua Foy

• Acute Care Nurse Practitioner in Folsom, CA
• Providers in Folsom, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.