Individual provider Active NPI

Melissa Sue Berger, PA-C

  • Surgical Physician Assistant
  • Medina, OH
National Provider Identifier
1124086897
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50-002351 Issued in OH
Practice address
784 Medina Rd Ste 107
Medina, OH 44256-9634
Phone
(330) 591-9635
Fax
(330) 591-4150
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 50-002351 OH Primary

Addresses

Primary practice location

784 Medina Rd Ste 107
Medina, OH 44256-9634

Mailing address

784 Medina Rd Ste 107
Medina, OH 44256-9634
Phone (330) 591-9635

Other identifiers 1

IdentifierTypeStateIssuer
000000370280OtherOHANTHEM

Other names 1

  • Miss Melissa Sue Froelich 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
I20050823000625 OH Practitioner - Physician Assistant 9739110487 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Wound Solutions, LLCGroup PAC ID 5597244194, 7 clinicians

Practice addresses (Care Compare)

784 Medina Rd
Suite 104
Medina, OH 44256-9634
Phone (330) 661-4008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
50-002351OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Wound Solutions, LLC CurrentSince Jan 1, 2026 Accepting new patients
Mercy Emergency Care Services, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Orthopaedic Institute of Ohio, Inc. Past Accepting new patients

Locations

4243 Hunt Rd
Ste 402
Blue Ash, OH 45242
Phone (513) 247-6161

784 Medina Rd
Ste 107
Medina, OH 44256
Phone (330) 591-9635

784 Medina Rd
Ste 104
Medina, OH 44256
Phone (330) 661-4008

Interoperability endpoints

  • Direct secure messaging: melissaberger@glhs.allscriptsdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1124086897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 MEDINA RD STE 107",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569634",
            "telephone_number": "330-591-9635",
            "fax_number": "330-591-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 MEDINA RD STE 107",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569634",
            "telephone_number": "330-591-9635",
            "fax_number": "330-591-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50-002351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000370280",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "FROELICH",
            "middle_name": "SUE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.