Individual provider Active NPI

Melodie R Brown, M.D.

  • Family Medicine Physician
  • Petoskey, MI
National Provider Identifier
1659363299
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB070397 Issued in MI
Practice address
1619 Anderson Rd
Petoskey, MI 49770-9256
Phone
(231) 417-6000
NPI assigned
Aug 19, 2005
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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 MB070397 MI Primary

Addresses

Primary practice location

1619 Anderson Rd
Petoskey, MI 49770-9256

Mailing address

14705 W Upright St
Charlevoix, MI 49720-1949
Phone (231) 547-1308

Other practice location 1

14705 W Upright St
Charlevoix, MI 49720-1949
Phone (231) 547-1308

Other identifiers 1

IdentifierTypeStateIssuer
4218748MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MELODIEBROWN@cah.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20101011000625 MI Practitioner - Family Practice 2668522616 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Healthcare Charlevoix HospitalGroup PAC ID 4284528035, shared by 6 NPIs, 57 clinicians

Practice addresses (Care Compare)

14705 W Upright St
Charlevoix, MI 49720-1949
Phone (231) 547-8544

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB070397MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Michigan Emergency Physicians PC CurrentSince Nov 1, 2017 Accepting new patients
Munson Healthcare Charlevoix Hospital Family Medicine Current Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince May 26, 2024 Accepting new patients
Mark W Smith MD PLC LLC Family Medicine PastSince May 9, 2021 Accepting new patients
Munson Healthcare Charlevoix Hospital Family Medicine Past Accepting new patients

Locations

14651 W Upright St
Charlevoix, MI 49720
Phone (231) 547-4477

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

14709 W Upright St
Charlevoix, MI 49720
Phone (231) 547-6519

14734 Park Ave
Charlevoix, MI 49720
Phone (231) 547-4024

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Interoperability endpoints

  • Direct secure messaging: melodiebrown@cah.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1659363299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14705 W UPRIGHT ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201949",
            "telephone_number": "231-547-1308",
            "fax_number": "231-392-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 ANDERSON RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709256",
            "telephone_number": "231-417-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14705 W Upright St",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201949",
            "country_code": "US",
            "telephone_number": "231-547-1308",
            "fax_number": "231-392-7332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MELODIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MB070397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4218748",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MELODIEBROWN@cah.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14734 Park Ave",
            "city": "Charlevoix",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497201927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.