Individual provider Active NPI

Melissa S Wooden, P.A.

  • Physician Assistant
  • Marshall, MI
National Provider Identifier
1710079330
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601001786 Issued in MI
Practice address
720 US Highway 27 N
Marshall, MI 49068-9609
Phone
(269) 781-6600
Fax
(269) 781-9228
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601001786 MI Primary

Addresses

Primary practice location

720 US Highway 27 N
Marshall, MI 49068-9609

Mailing address

720 US Highway 27 N
Marshall, MI 49068-9609
Phone (269) 781-6600

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050114000719 MI Practitioner - Physician Assistant 5294784369 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians

Practice addresses (Care Compare)

1131 M 32
Alpena, MI 49707-8222
Phone (989) 250-1925

1325 N W Ave
Jackson, MI 49202-2050
Phone (517) 395-2246

25 Columbia Ave E
Battle Creek, MI 49015-3703
Phone (269) 425-3017

3220 W Silver Lake Rd
Fenton, MI 48430-1374
Phone (810) 208-7470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601001786MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Physician Assistant CurrentSince Jan 9, 2011 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Jul 8, 2024 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Jan 9, 2011 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Jul 8, 2024 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Physicians Immediate Care LTD Past Accepting new patients
Ella E M Brown Charitable Circle Past Accepting new patients
Lansing Urgent Care, PLC Past Accepting new patients

Locations

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

720 US Highway 27 N
Marshall, MI 49068
Phone (269) 781-6600

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

202 N Main St
Olivet, MI 49076
Phone (269) 749-2131

6012 S Westnedge Ave
Portage, MI 49002
Phone (269) 220-8950

2218 US Highway 27 N
Tekonsha, MI 49092
Phone (517) 767-4038

Interoperability endpoints

  • Direct secure messaging: mwooden886788@direct.hfhs.org
  • Direct secure messaging: melissa.wooden@970726358056964.direct.elationemr.com

Organizations & group practices 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710079330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 US HIGHWAY 27 N",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490689609",
            "telephone_number": "269-781-6600",
            "fax_number": "269-781-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 US HIGHWAY 27 N",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490689609",
            "telephone_number": "269-781-6600",
            "fax_number": "269-781-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODEN",
        "first_name": "MELISSA",
        "middle_name": "S",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.