Melissa Clisch, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704316144 Issued in MI

Practice address

43821 Ford Rd
Canton, MI 48187-3122

Phone

(734) 656-1021

Fax

(734) 656-1022

NPI assigned

Jan 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mclisch944029@direct.hfhs.org

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.

• Henry Ford Urgent Care

  • Urgent Care Clinic/Center
  • Detroit, MI
  • NPI 1184389876

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Nextcare Michigan Providers PLLC

  • Urgent Care Clinic/Center
  • Ann Arbor, MI
  • NPI 1972106938
  Medicare reassignment NPD
• Washtenaw Urgent Care

  • Internal Medicine Physician
  • Ann Arbor, MI
  • NPI 1174874531
  NPD

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1902436447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43821 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873122",
            "telephone_number": "734-656-1021",
            "fax_number": "734-656-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43821 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873122",
            "telephone_number": "734-656-1021",
            "fax_number": "734-656-1022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Genoa Business Park Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481147368",
            "country_code": "US",
            "telephone_number": "810-844-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5800 Highland Rd",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483271827",
            "country_code": "US",
            "telephone_number": "248-290-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLISCH",
        "first_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704316144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Libby Clark
• Clearview Diagnostics LLC
• Cleary Family Dentistry
• Tiyomecho Clinton
• Kara Clippert, PHARMD
• Anita Coffey
• Colbert Clinical Resources PLLC
• Kevin Daniel Coleman
• Kristin Marguerite Collier, MD
• John R Collop, DO

• Nurse Practitioner in Canton, MI
• Providers in Canton, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.