NPIMap

Individual provider Active NPI

Melissa Weckesser, MD

  • Family Medicine Physician
  • Midland, MI
National Provider Identifier
1588078620
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301105981 Issued in MI
Practice address
4611 Campus Ridge
Midland, MI 48670-6122
Phone
(989) 839-3510
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301105981 MI Primary

Addresses

Primary practice location

4611 Campus Ridge
Midland, MI 48670-6122

Mailing address

4611 Campus Ridge
Midland, MI 48670-6122
Phone (989) 839-3510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180718000260 MI Practitioner - Family Practice 4082932330 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center GladwinGroup PAC ID 0143262915, 66 clinicians

Practice addresses (Care Compare)

1105 E Cedar Ave
Gladwin, MI 48624-7003
Phone (989) 246-6490

Hospital & facility affiliations

  • Mymichigan Home Care Home health agency, Midland, MI, CCN 237015
  • Mymichigan Medical Center Gladwin Hospital, Gladwin, MI, CCN 231325
  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
  • Mymichigan Medical Center West Branch Hospital, West Branch, MI, CCN 230095

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland Family Medicine CurrentSince Sep 10, 2018 Accepting new patients
Mymichigan Medical Center Alma Family Medicine CurrentSince Sep 10, 2018 Accepting new patients
Mymichigan Medical Center Alma Current Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Sep 10, 2018 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Sep 10, 2018 Accepting new patients
Mymichigan Medical Center Alma Family Medicine CurrentSince Sep 10, 2018 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Sep 10, 2018 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Sep 10, 2018 Accepting new patients

Locations

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

2980 Wilder Rd
Ste B
Bay City, MI 48706
Phone (989) 509-3333

700 W 5th St
Clare, MI 48617
Phone (989) 386-9911

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

1105 E Cedar Ave
Gladwin, MI 48624
Phone (989) 246-6490

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4611 N Campus Ridge Dr
Midland, MI 48640
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

3009 N Saginaw Rd
Midland, MI 48640
Phone (989) 633-1350

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

3691 W M 55
West Branch, MI 48661
Phone (989) 312-8104

Interoperability endpoints

  • Direct secure messaging: mweckesser6929@mymichiganhealth.midirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1588078620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 CAMPUS RIDGE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486706122",
            "telephone_number": "989-839-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 CAMPUS RIDGE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486706122",
            "telephone_number": "989-839-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WECKESSER",
        "first_name": "MELISSA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301105981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.