Individual provider Active NPI

Melanie Monnig, P.A.-C

  • Physician Assistant
  • Wilmington, DE
National Provider Identifier
1730188301
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0000215 Issued in DE
Practice address
405 Silverside Rd Ste 111
Wilmington, DE 19809-1768
Phone
(302) 798-0666
Fax
(302) 798-2401
NPI assigned
Jul 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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 C5-0000215 DE Primary

Addresses

Primary practice location

405 Silverside Rd Ste 111
Wilmington, DE 19809-1768

Mailing address

405 Silverside Rd Ste 111
Wilmington, DE 19809-1768
Phone (302) 798-0666

Other practice location 1

2600 Glasgow Ave Ste 124
Newark, DE 19702-4777
Phone (302) 836-4200

Other practice location 2

86 Omega Dr Ste 86
Newark, DE 19713-2065
Phone (302) 738-5500

Other identifiers 1

IdentifierTypeStateIssuer
0001176543MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20100317000871 DE Practitioner - Physician Assistant 4981739802 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Koniver Fiss Mansoory MD PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melanie.monnig.1@28224.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1730188301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SILVERSIDE RD STE 111",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091768",
            "telephone_number": "302-798-0666",
            "fax_number": "302-798-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SILVERSIDE RD STE 111",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091768",
            "telephone_number": "302-798-0666",
            "fax_number": "302-798-2401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Glasgow Ave Ste 124",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197024777",
            "country_code": "US",
            "telephone_number": "302-836-4200",
            "fax_number": "302-836-8431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86 Omega Dr Ste 86",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132065",
            "country_code": "US",
            "telephone_number": "302-738-5500",
            "fax_number": "302-738-9449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONNIG",
        "first_name": "MELANIE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001176543",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.