What is Melanie Vespa's specialty?

Melanie Vespa (NPI 1083993646) is a Medicare-billing provider whose primary specialty is Nurse Practitioner in El Cajon, CA.

Where does Melanie Vespa practice?

Melanie Vespa practices in El Cajon, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1083993646.

How much does Medicare pay Melanie Vespa?

Melanie Vespa (NPI 1083993646) received approximately $154K in total Medicare Part B payments, serving 289 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1083993646

Melanie VespaAPN, FNP-BC

Nurse PractitionerEl Cajon, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

610

Unique beneficiaries

—

Total services

2,316

Distinct HCPCS

Medicare payment

$154K

Peer benchmark

Total Medicare services vs. 8,685 Nurse Practitioner providers in CA — top quintile (cohort median 222).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

97.3

Quality

85.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.94%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

REFERRAL NETWORK

Where Melanie Vespa's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 8 inbound referrers · 11 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PRESENCE CHICAGO HOSPITALS NETWORK	35	73
TANDETER, ELY	26	139
Superior Air-Ground Ambulance Service, Inc Ambulance Service Provider · Elmhurst, IL	24	48
SHLIAPOCHNIK, SILVANA	24	54
BUCKINGHAM PAVILION INC	20	56
Gabriel Levi Pathology · Berkeley Heights, NJ	18	28
City Of Chicago Ambulance Service Provider · Chicago, IL	16	22
Vishnu Gaiha Cardiology · Evanston, IL	13	31

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Ajith Castelino Physical Medicine and Rehabilitation · Chicago, IL	69	128
GLEN CREST NURSING & REHABILITATION CENTRE LTD	27	58
TANDETER, ELY	23	95
SHLIAPOCHNIK, SILVANA	16	36
BUCKINGHAM PAVILION INC	16	44
Gabriel Levi Orthopedic Surgery · Chicago, IL	16	67
PRESENCE CHICAGO HOSPITALS NETWORK	15	28
Medical Express Ambulance Service, Inc Ambulance Service Provider · Skokie, IL	15	29
DI DOMENICO, MICHAEL	14	19
Terry Zucker Podiatry · Glenview, IL	11	14
Chicago Clinical Laboratories, Ltd Clinical Laboratory · Northbrook, IL	11	83

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events