Melinda Michelle Cusack, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01088779A Issued in IN

Practice address

20095 Gilbert Rd
Big Rapids, MI 49307-2365

Phone

(231) 592-1360

Fax

(231) 592-1361

NPI assigned

Jun 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Melinda Mechelle Maile Former name

Electronic endpoints 1

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

Specialty

Family Practice

Education

Michigan State University College of Human Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MGH Family Health CenterGroup PAC ID 2860384831, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mcusack4463503@direct.trinity-health.org
• Direct secure messaging: melinda.cusack@lutheranhealthnetwork.cernerdirect.com
• FHIR API: https://api.platform.athenahealth.com/17442/brand/2/csg/1/fhir/r4

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.

• MGH Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Muskegon, MI
  • NPI 1255331583
  Medicare reassignment Care Compare group NPD
• Michigan Primary Care Partners P C

  • Internal Medicine Physician
  • Big Rapids, MI
  • NPI 1366497380
  Medicare reassignment NPD
• Mymichigan Medical Center Alma

  • Emergency Medicine Physician
  • Alma, MI
  • NPI 1568914422
  Medicare reassignment NPD
• Mymichigan Medical Center Alma

  • Family Medicine Physician
  • Alma, MI
  • NPI 1265596126
  NPD
• MGH Family Health Center

  • Family Medicine Physician
  • Muskegon, MI
  • NPI 1982974515
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health Partners

  • General Acute Care Hospital
  • Muskegon, MI
  • NPI 1831132133
  Care Compare affiliation

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1932580909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20095 GILBERT RD",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072365",
            "telephone_number": "231-592-1360",
            "fax_number": "231-592-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20095 GILBERT RD",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072365",
            "telephone_number": "231-592-1360",
            "fax_number": "231-592-1361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 W Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Breckenridge",
            "state": "MI",
            "postal_code": "48615",
            "country_code": "US",
            "telephone_number": "989-842-3118",
            "fax_number": "989-842-1110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12404 Lima Crossing Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468180202",
            "country_code": "US",
            "telephone_number": "260-478-4201",
            "fax_number": "260-458-3293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSACK",
        "first_name": "MELINDA",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301500878",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11018213A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11018213A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301111076",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01088779A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melinda.cusack@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "address_1": "12404 Lima Crossing Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468180202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "MAILE",
            "middle_name": "MECHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ralph P Crew, D.O.
• Jonathan Robert Crimm, PT, DPT
• Bonnie Sue Cripe, PHD LMSW ACSW DAPA
• Shelly Lynn Cripps
• Jill R Crosby, PT
• Czinder Eye Care PC
• Joseph Czinder, OD
• Nicholas Scott Czinder, O.D.
• Daniel T. Shea DC,PC
• Pam Daniels, MA, DE

• Family Medicine Physician in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.