MELISSA D PACKWOOD (PA) – Medical Physician Assistant, NPI 1518963073

MELISSA D PACKWOOD (PA) is a healthcare provider. based in Louisville, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA760 (KY). The NPI Number for MELISSA D PACKWOOD (PA) is 1518963073

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA D PACKWOOD (PA)
NPI
1518963073
Phone
(502) 253-4917
Address
2700 STANLEY GAULT PKWY
Enumeration Date
21 June 2005
Last Update Date
7 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
7810893062
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20031209000978
Address ID
KY402074681LO3900XWAYX300

Contacts

Secure Messaging
mpackwood21139@bhkydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for MELISSA D PACKWOOD (PA)

  • 2700, Stanley Gault Parkway, Berrytown, Louisville, Jefferson County, Kentucky, 40223, United States

    SUITE 129

    LOUISVILLE, KY 402235132

    Phone: (502) 253-4917

    Fax: (502) 489-5751

    Type: Mailing

  • 3940 DUPONT CIR

    LOUISVILLE, KY 402074806

    Phone: (502) 895-1111

    Fax: (502) 895-1085

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $1,178.

Total Amount is formed as General ($1,178) + Research ($0) + Ownership ($0) = $1,178.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Astellas Pharma US Inc ($375).

Total Amount

$1,178

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2003-12-09

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
I20031209000978IPhysician AssistantKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4834$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination4242$0
77063Screening 3d breast mammography1414$0
77067Screening mammography1414$0
81003Automated urinalysis test1312$0
View full utilization report →

Insurance plans in this area (ZIP 40223)

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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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

What federal number belongs to MELISSA D PACKWOOD (PA)?
The federal identifier for MELISSA D PACKWOOD (PA) is NPI 1518963073.
Is MELISSA D PACKWOOD (PA) active in the national directory?
MELISSA D PACKWOOD (PA)'s public NPI profile is in an active state.
Does MELISSA D PACKWOOD (PA) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for MELISSA D PACKWOOD (PA). Clinical services aligned with this taxonomy classification.
What location metadata exists for MELISSA D PACKWOOD (PA)?
The page summarizes Louisville, Kentucky for MELISSA D PACKWOOD (PA); expand the address list for detail.
What if Louisville, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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