MELISSA GRACE HOGAN (PA) – Physician Assistant, NPI 1952379638

MELISSA GRACE HOGAN (PA) is a healthcare provider. based in Orlando, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9103252 (FL). The NPI Number for MELISSA GRACE HOGAN (PA) is 1952379638

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA GRACE HOGAN (PA)
NPI
1952379638
Phone
Not provided
Address
PO BOX 917156
Enumeration Date
9 March 2006
Last Update Date
23 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
1996 (30 years ago)
PAC ID
9436043908
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20040214000199
Address ID
MI495084600KE4444XSEXX401

Contacts

Secure Messaging
mhogan3241883@epic00.corewelldirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness95
Years active:20State licenses:2Other names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for MELISSA GRACE HOGAN (PA)

  • PO BOX 917156

    ORLANDO, FL 328917156

    Phone:

    Type: Mailing

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 80 68TH ST SE

    GRAND RAPIDS, MI 495486980

    Phone: (616) 391-8242

    Type: Location

  • West Colonial Drive, Ocoee, Orange County, Florida, 34761, United States

    OCOEE, FL 347613498

    Phone: (407) 296-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040214000199IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32891)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
Geriatric Medicine, Internal MedicineMI
-MI
-MI

Reviews

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Frequently asked questions

Does MELISSA GRACE HOGAN (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MELISSA GRACE HOGAN (PA) uses 1952379638.
Is MELISSA GRACE HOGAN (PA) listed as active for patients and plans?
The listing shows MELISSA GRACE HOGAN (PA) as active in the NPI system.
What taxonomy line describes MELISSA GRACE HOGAN (PA)?
For research purposes, treat MELISSA GRACE HOGAN (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MELISSA GRACE HOGAN (PA) on a map?
Expect Orlando, Florida as a primary anchor for MELISSA GRACE HOGAN (PA) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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