Melissa Marie Atwell, PA-C
Individual provider Active NPI Physician Assistant · Zion, IL
NPI 1497310056 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1497310056
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085.007663 (IL)
- Practice address
- Cancer Treatment Centers of America
2520 Elisha Avenue
Zion, IL 60099 - Phone
- (800) 322-9183
- NPI assigned
- May 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wakemed Specialists Group LLC
City of Hope Medical Group of Illinois PLLC
Practice addresses (Care Compare)
210 Ashville Ave
Cary, NC 27518-6600
Phone (919) 350-2800
2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561
Hospital & facility affiliations
- Midwestern Region Med Center, Inc
- Wakemed, Cary Hospital
- Wakemed, Raleigh Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in DC, IL, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190925002783 | DC | Practitioner - Physician Assistant | 2668702119 | Reassigns benefits to 1 organization |
| I20210519000271 | IL | Practitioner - Physician Assistant | 2668702119 | Reassigns benefits to 1 organization |
| I20260304001949 | NC | Practitioner - Physician Assistant | 2668702119 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.007663 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group LLC | Current |
Accepting new patients | |
| Wakemed Specialists Group LLC | Current |
Accepting new patients |
Locations
210 Ashville Ave
Cary, NC 27518
Phone (919) 235-6460
3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318
Interoperability endpoints
- mspooner145090@cityofhope.direct-ci.com
- mspooner19928@gwmfa.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 085.007663 | IL | Yes |
Addresses
Primary practice location
Cancer Treatment Centers of America
2520 Elisha Avenue
Zion, IL 60099
Mailing address
Cancer Treatment Centers of America
2361 Paysphere Circle
Chicago, IL 60674
Phone (800) 322-9183
Other providers in Zion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.