MELISSA MARGO BLACK (MSN, PMHNP-BC) – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1013538834
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for MELISSA MARGO BLACK (MSN, PMHNP-BC)
806 Hogsback Rd Ste C
Mason, MI 488548525
Phone: (517) 325-5224
Type: Location
700 DEGROFF ST
GRAND LEDGE, MI 488371762
Phone: (517) 897-2774
Type: Mailing
1215 E MICHIGAN AVE
LANSING, MI 489121811
Phone: (517) 354-3490
Type: Location
118 COWLEY AVE
EAST LANSING, MI 488234012
Phone: (517) 897-2774
Type: Mailing
3475 BELLE CHASE WAY
LANSING, MI 489114252
Phone: (517) 882-3732
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $90.
Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.
Last reported payment date: 2023-12-28 • Largest payer in this snapshot: ITI, Inc. ($47).
Total Amount
$90
General + Research + Ownership
Payments
2
Total payment records
General Amount
$90
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. | $47 |
| Inspire Medical Systems, Inc. | $43 |
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: 2022-05-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220506001420 | I | Nurse Practitioner | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 129 | 21 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 90 | 19 | $0 |
Insurance plans in this area (ZIP 48854)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI |
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