Individual provider Active NPI

Melissa Nielsen, MD

  • Emergency Medicine Physician
  • Chardon, OH
National Provider Identifier
1437111291
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35082989 Issued in OH
Practice address
13207 Ravenna Rd
Chardon, OH 44024-7032
Phone
(440) 285-6000
Fax
(330) 656-5901
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35082989 OH Primary

Addresses

Primary practice location

13207 Ravenna Rd
Chardon, OH 44024-7032

Mailing address

5700 Darrow Rd
Suite 106
Hudson, OH 44236-5021
Phone (330) 656-9304

Other identifiers 2

IdentifierTypeStateIssuer
000000360320OtherOHANTHEM
2444886MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000886 OH Practitioner - Emergency Medicine 7315939071 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Cincinnati College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Emergency Specialists LLCGroup PAC ID 4587807854, 14 clinicians

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039
Phone (330) 493-4443

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.46 of 100Reported as group
Quality
90.17
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18747OHMDDentist
35082989OHMDEmergency Medicine Physician
35082989NOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ues Ahuja LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
University Hospitals Conneaut Medical Center CurrentSince Aug 18, 2019 Accepting new patients
Ues Geauga, LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
University Hospitals Conneaut Medical Center CurrentSince Aug 18, 2019 Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince Aug 18, 2019 Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince Aug 18, 2019 Accepting new patients
Emergency Medicine Physicians of Lake County LTD Emergency Medicine CurrentSince Sep 1, 2013 Accepting new patients
Physicians Link Center LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
University Hospitals Ahuja Medical Center, Inc Current Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
University Hospitals Conneaut Medical Center Current Accepting new patients
University Emergency Specialists LLC Emergency Medicine CurrentSince Nov 20, 2017 Accepting new patients
Emergency Medicine Physicians of Richland County, LTD Emergency Medicine Past Accepting new patients
4M Emergency Systems of West Virginia Emergency Medicine Past Accepting new patients
Memorial Hospital of Geneva Emergency Medicine Past Accepting new patients
Erie Banks Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Brooke County, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Guernsey County, LTD Emergency Medicine Past Accepting new patients

Locations

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: mnielsen37874@ehrdirect.uhhospitals.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1437111291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD",
            "address_2": "SUITE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365021",
            "telephone_number": "330-656-9304",
            "fax_number": "330-656-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13207 RAVENNA RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247032",
            "telephone_number": "440-285-6000",
            "fax_number": "330-656-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "MELISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35082989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000360320",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2444886",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

Verify at the official NPI Registry.