Active NPI
Melissa Wong, M.D.
- Surgery Physician
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD61629411
- Practice address
- 1400 E Kincaid St
Mount Vernon, WA 98274-4127 - Phone
- (360) 428-2586
- Fax
- (360) 428-6470
- NPI assigned
- Jun 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 67538 | WI | |
| Surgery Physician | 208600000X | MD61629411 | WA | Primary |
Addresses
Primary practice location
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Mailing address
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mwong62062@skagit.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.95 of 100
- Quality
- 78.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67538 | WI | MD | Transplant Surgery Physician |
| MD61629411 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Transplant Surgery | Current | Accepting new patients |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients |
Locations
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Interoperability endpoints
- mwong62062@skagit.direct-ci.com
- melissa.wong@hca4.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Transplant Surgery
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1316268477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127",
"fax_number": "414-955-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127",
"telephone_number": "360-428-2586",
"fax_number": "360-428-6470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "MELISSA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-11",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "WI",
"license": "67538",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD61629411",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mwong62062@skagit.direct-ci.com",
"affiliation": "N",
"endpointDescription": "provider direct message",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1400 E Kincaid St",
"city": "Mount Vernon",
"state": "WA",
"country_code": "US",
"postal_code": "982744127",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.