MELISSA J WIEGAND (NP) – Family Nurse Practitioner, NPI 1174904429

MELISSA J WIEGAND (NP) is a healthcare provider. based in Shelby, Michigan. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 4704230188 (MI). The NPI Number for MELISSA J WIEGAND (NP) is 1174904429

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA J WIEGAND (NP)
NPI
1174904429
Phone
(231) 861-2187
Address
71 BEVIER ST
Enumeration Date
12 June 2015
Last Update Date
2 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
9032426671
Group Practice PAC ID
1456430016
Professional Enrollment ID
I20150915002363
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for MELISSA J WIEGAND (NP)

  • 71 BEVIER ST

    SHELBY, MI 494551209

    Phone: (231) 861-2187

    Fax: (231) 861-5100

    Type: Location

  • PO BOX 1848

    MUSKEGON, MI 494431848

    Phone: (231) 727-5211

    Fax: (231) 728-4789

    Type: Mailing

  • 905 E Colby St

    Whitehall, MI 494611262

    Phone: (231) 728-5910

    Fax: (231) 728-5918

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2023-08-01 • Largest payer in this snapshot: Boston Scientific Corporation ($33).

Total Amount

$73

General + Research + Ownership

Payments

3

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-01

Latest reported date

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: 2015-09-15

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
I20150915002363INurse PractitionerMITBD

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 49455)

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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: 1456430016View full group profile
NameSpecialtyState
Physician AssistantOH
Family Practice, General PracticeMI
Physician AssistantMI
Qualified Speech Language PathologistMI
Nurse PractitionerMI
-MI
Nurse PractitionerMI
-MI
Family PracticeMI
-MI

Reviews

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Frequently asked questions

Can I use this page to confirm MELISSA J WIEGAND (NP)'s NPI?
Yes. MELISSA J WIEGAND (NP) is listed with NPI 1174904429 in the public NPI dataset.
Does CMS list MELISSA J WIEGAND (NP) as active?
Yes — MELISSA J WIEGAND (NP) is active in the NPI listing used on this page.
What is MELISSA J WIEGAND (NP)'s specialty?
The listing groups MELISSA J WIEGAND (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MELISSA J WIEGAND (NP) on a map?
Expect Shelby, Michigan as a primary anchor for MELISSA J WIEGAND (NP) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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