DR. MELISSA L STENSTROM (MD) – Dermatology Physician, NPI 1477745255

DR. MELISSA L STENSTROM (MD) is a healthcare provider. based in Rockford, Illinois. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 036-126369 (IL). The NPI Number for DR. MELISSA L STENSTROM (MD) is 1477745255

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELISSA L STENSTROM (MD)
NPI
1477745255
Phone
(815) 484-9900
Address
1235 N MULFORD RD
Enumeration Date
15 August 2007
Last Update Date
30 January 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
8154849900
Graduation Year
2006 (20 years ago)
PAC ID
0143418228
Group Practice PAC ID
3072655687
Professional Enrollment ID
I20101216000746
Address ID
IL611073879RO1235XRDXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

703 DERMATOLOGY in IL

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Provider Addresses for DR. MELISSA L STENSTROM (MD)

  • 1235, North Mulford Road, Rockford, Winnebago County, Illinois, 61107, United States

    SUITE 205

    ROCKFORD, IL 611073879

    Phone: (815) 484-9900

    Fax: (815) 487-4949

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 192 Open Payments records for all available years, with a total value of $3,602.

Total Amount is formed as General ($3,602) + Research ($0) + Ownership ($0) = $3,602.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,344).

Total Amount

$3,602

General + Research + Ownership

Payments

192

Total payment records

General Amount

$3,602

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-12-16

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
I20101216000746IDermatologyILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths825238$0
99213Established patient office or other outpatient visit, 20-29 minutes810631$0
17000Destruction of precancer skin growth, 1 growth421359$0
11102Biopsy of related skin growth, first growth239220$0
17110Destruction of skin growth, 1-14 growths217196$0
View full utilization report →

Insurance plans in this area (ZIP 61107)

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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: 3072655687View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Otolaryngology, Allergy/Immunology, Plastic And Reconstructive SurgeryIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do payers reference DR. MELISSA L STENSTROM (MD)?
For DR. MELISSA L STENSTROM (MD), use NPI 1477745255 as the unique 10-digit identifier.
Is DR. MELISSA L STENSTROM (MD) shown as active in public data?
Registry records indicate DR. MELISSA L STENSTROM (MD) maintains an active NPI.
What expertise is attributed to DR. MELISSA L STENSTROM (MD)?
DR. MELISSA L STENSTROM (MD)'s specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MELISSA L STENSTROM (MD)?
Directory geography for DR. MELISSA L STENSTROM (MD) centers on Rockford, Illinois.
What does 2 location(s) imply?
2 practice locations appear in the available data.