NPIMap

Individual provider Active NPI

Melanie Theofania Mermiges, PA-C

  • Physician Assistant
  • Grosse Pointe Shores, MI
National Provider Identifier
1992311237
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
66 Willow Tree PL
Grosse Pointe Shores, MI 48236-1322
Phone
(313) 213-0390
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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 Primary

Addresses

Primary practice location

66 Willow Tree PL
Grosse Pointe Shores, MI 48236-1322

Mailing address

66 Willow Tree PL
Grosse Pointe Shores, MI 48236-1322
Phone (313) 213-0390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210105002464 MI Practitioner - Physician Assistant 4981017274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute of Michigan, P.C.Group PAC ID 1052380219, 10 clinicians

Practice addresses (Care Compare)

18303 E 10 Mile Rd
Suite 100
Roseville, MI 48066-4989
Phone (586) 776-8877

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
94.15 of 100Reported as group
Quality
87.87
Promoting interoperability
100
Improvement activities
40
Cost
80.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Preventive Cardiovascular Institute PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mmermiges804347@direct.hfhs.org

Organizations & group practices 3

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 7

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1992311237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WILLOW TREE PL",
            "city": "GROSSE POINTE SHORES",
            "state": "MI",
            "postal_code": "482361322",
            "telephone_number": "313-213-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 WILLOW TREE PL",
            "city": "GROSSE POINTE SHORES",
            "state": "MI",
            "postal_code": "482361322",
            "telephone_number": "313-213-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMIGES",
        "first_name": "MELANIE",
        "middle_name": "THEOFANIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Shores, MI

Sources for this page

Verify at the official NPI Registry.