Melissa Folstad, MD
Individual provider Active NPI Family Medicine Physician · Slinger, WI
NPI 1619505963 · NPPES record last updated Oct 6, 2023
Key facts
- NPI
- 1619505963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 77551 (WI)
- Practice address
- 1061 E Commerce Blvd
Slinger, WI 53086-9326 - Phone
- (262) 644-2900
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
PO Box
Chicago, IL 60673
Hospital & facility affiliations
- Aurora Medical Ctr Washington County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230727001495 | WI | Practitioner - Family Practice | 1759755291 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77551 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Advanced Healthcare, Inc. | Family Medicine | Current |
Accepting new patients |
| Aurora Advanced Healthcare Inc | Current |
Accepting new patients |
Locations
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1061 E Commerce Blvd
Slinger, WI 53086
Phone (262) 644-2900
Interoperability endpoints
- mfolstad263401@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 77551 | WI | Yes |
Addresses
Primary practice location
1061 E Commerce Blvd
Slinger, WI 53086-9326
Mailing address
1061 E Commerce Blvd
Slinger, WI 53086-9326
Other practice location 1
W3985 County Road Nn
Elkhorn, WI 53121-4337
Phone (262) 741-2121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100229738 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mfolstad263401@direct.myadvocateaurora.org | Direct |
Other providers in Slinger, WI
- Meghan Dassow
- Abigail Davis
- Delta LLC
- Edmund J Fernandez
- Sarah Kennedy Fodor
- Fresenius Medical Care Milwaukee, LLC
- Friedemann Chiropractic LLC
- Thomas J Friedemann
- Geminicares, Inc.
- Autumn Nicole Gray
All providers in Slinger, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2023. 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.