Melissa Ann Fitch, APRN
NPI 1194223891ActiveIndividual· Nurse Practitioner· Jonesboro, AR
Nurse Practitioner (APRN) with Ideal Option PLLC and 1 other group, practicing in Jonesboro, Arkansas. Their prescriptions cost Medicare Part D more than their services did: $50,285 for 456 claims, against $30,910 paid for services in 2024. Heartflow, Inc. was the largest of 6 companies reporting payments in 2025, $550.48 in all, mostly food and beverage.
Overview
| NPI | 1194223891 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Jan 28, 2018 |
| Last updated in NPPES | Oct 29, 2026 |
| Certified by provider | Oct 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | A005468 | AR |
| Nurse Practitioner, Adult Health | 363LA2200X | A005468 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AR); Practitioner - Nurse Practitioner (ND); Practitioner - Nurse Practitioner (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 410 across 29 procedure codes |
| Paid by Medicare | $30,910 |
Part D prescriptions in 2024
| Prescriptions (claims) | 456 · 456 30-day fills |
|---|---|
| Patients | 54 |
| Total drug cost | $50,285 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Ideal Option PLLCLongview, WA · 91 clinicians
- Ideal Telemedicine Services LLCCoeur D Alene, ID · 38 clinicians
Industry payments (Open Payments)
- 2025$550.48 · 6 payments from 6 companies
- 2024$419.96 · 8 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Heartflow, Inc. | $147.39 | 1 |
| Abbvie Inc. | $99.04 | 1 |
| Phathom Pharmaceuticals, Inc. | $94.12 | 1 |
| Sumitomo Pharma America, Inc. | $92.60 | 1 |
| Lilly USA, LLC | $90.10 | 1 |
What the 2025 payments were for
- Food and Beverage$550.48 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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