Individual provider Active NPI

Melissa Ann Gergel, MPAS, PA-C

  • Physician Assistant
  • Orland Park, IL
National Provider Identifier
1972134187
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085007507 Issued in IL
Practice address
15300 West Ave Ste 108
Orland Park, IL 60462-4685
Phone
(708) 226-2318
Fax
(708) 226-2319
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 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 085007507 IL Primary

Addresses

Primary practice location

15300 West Ave Ste 108
Orland Park, IL 60462-4685

Mailing address

15300 West Ave Ste 108
Orland Park, IL 60462-4685
Phone (708) 226-2318

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgergel205451@direct.edward.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20200325002031 IL Practitioner - Physician Assistant 1759719719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

12251 S 80TH Ave
Palos Heights, IL 60463-1290

15300 W Ave
Orland Park, IL 60462-4600

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085007507ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures CurrentSince Feb 18, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 28, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 28, 2023 Accepting new patients
Edward Health Ventures CurrentSince Feb 18, 2020 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

10 Martin Ave
Ste 225
Naperville, IL 60540
Phone (630) 284-9118

15300 West Ave
Ste 108
Orland Park, IL 60462
Phone (708) 226-2318

12255 S 80th Ave
Ste 204
Palos Heights, IL 60463
Phone (708) 923-4400

Interoperability endpoints

  • Direct secure messaging: mgergel205451@direct.edward.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1972134187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 108",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624685",
            "telephone_number": "708-226-2318",
            "fax_number": "708-226-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 108",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624685",
            "telephone_number": "708-226-2318",
            "fax_number": "708-226-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERGEL",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085007507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgergel205451@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "10 Martin Ave Ste 225",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.