MELISSA D DE JONG (M.A.) – Audiologist, NPI 1124005905

MELISSA D DE JONG (M.A.) is a healthcare provider. based in Rochester, Minnesota. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials M.A.. They hold a License No. LICC-37 (MN). The NPI Number for MELISSA D DE JONG (M.A.) is 1124005905

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA D DE JONG (M.A.)
NPI
1124005905
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
22 December 2005
Last Update Date
18 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072842511
Graduation Year
2006 (20 years ago)
PAC ID
9133264153
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20100302000725
Address ID
MN559050001RO200XXSWXX400

Contacts

Secure Messaging
mdejong132916@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

264 QUALIFIED AUDIOLOGIST in MN

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Provider Addresses for MELISSA D DE JONG (M.A.)

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    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)

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: 2010-03-02

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
I20100302000725IQualified AudiologistMNTBD

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
92604Analysis and reprogramming of inner ear implant (7 years or older)3427$0
92626Evaluation of hearing function related to surgically implanted hearing device, first hour1514$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 6507778255View full group profile

Reviews

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Frequently asked questions

Can I verify MELISSA D DE JONG (M.A.) with an NPI only?
You can start verification with NPI 1124005905 for MELISSA D DE JONG (M.A.), then check state licensing separately.
Is MELISSA D DE JONG (M.A.) listed as active for patients and plans?
The listing shows MELISSA D DE JONG (M.A.) as active in the NPI system.
What is MELISSA D DE JONG (M.A.)'s primary classification?
Audiologist is the headline specialty for MELISSA D DE JONG (M.A.) here. Clinical services aligned with this taxonomy classification.
Where should I expect MELISSA D DE JONG (M.A.) on a map?
Expect Rochester, Minnesota as a primary anchor for MELISSA D DE JONG (M.A.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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