Individual provider Active NPI

Melanie Wittkop, CNP

  • Family Nurse Practitioner
  • Perrysburg, OH
National Provider Identifier
1316602089
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028207 Issued in OH
Practice address
27322 Carronade Dr
Perrysburg, OH 43551-3368
Phone
(567) 336-4662
Fax
(567) 336-4663
NPI assigned
Nov 7, 2021
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0028207 OH Primary

Addresses

Primary practice location

27322 Carronade Dr
Perrysburg, OH 43551-3368

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

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
I20220317002700 OH Practitioner - Nurse Practitioner 0244625861 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Ohio LLCGroup PAC ID 7719087584, 212 clinicians

Practice addresses (Care Compare)

1094 N Main St
Bowling Green, OH 43402-1346
Phone (419) 373-6687

Merit-based Incentive Payment System (MIPS)

Final score
99.25 of 100Reported as group
Quality
96.55
Improvement activities
40
Cost
89.76

Merit-based Incentive Payment System (MIPS)

Final score
86.78 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
84.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0028207OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Toledo Hospital Single Specialty Current Accepting new patients
Observation Physicians of Northwest Ohio LLC Single Specialty CurrentSince Sep 12, 2022 Accepting new patients
The Toledo Hospital CurrentSince Nov 30, 2022 Accepting new patients
The Toledo Hospital CurrentSince Nov 30, 2022 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Single Specialty Current Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Single Specialty Current Accepting new patients
The Little Clinic of Ohio LLC Single Specialty CurrentSince Jan 8, 2024 Accepting new patients

Locations

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

1094 N Main St
Bowling Green, OH 43402
Phone (419) 353-5116

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

1075 Medical Center Pkwy
Maumee, OH 43537
Phone (567) 585-0800

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1316602089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27322 CARRONADE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513368",
            "telephone_number": "567-336-4662",
            "fax_number": "567-336-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTKOP",
        "first_name": "MELANIE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-07",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.