MELISSA DOAN – Physician Assistant, NPI 1114516671

MELISSA DOAN is a healthcare provider. based in Saint louis, Missouri. specializing in PHYSICIAN ASSISTANT. They hold a License No. 085008880 (IL). The NPI Number for MELISSA DOAN is 1114516671

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA DOAN
NPI
1114516671
Phone
(309) 370-4456
Address
4965 OLEATHA AVE APT 2W
Enumeration Date
11 January 2021
Last Update Date
19 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182342120
Graduation Year
2021 (5 years ago)
PAC ID
4183003445
Group Practice PAC ID
3274765904
Professional Enrollment ID
I20220617000395
Address ID
IL622691099OX1XXXXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for MELISSA DOAN

  • 4965 OLEATHA AVE APT 2W

    SAINT LOUIS, MO 631391241

    Phone: (309) 370-4456

    Type: Mailing

  • 3437 CAROLINE ST

    SAINT LOUIS, MO 631041111

    Phone: (314) 977-2570

    Type: Location

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: 2022-06-17

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
I20220617000395IPhysician AssistantILTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes19199$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7675$0
99239Hospital discharge day management, more than 30 minutes6968$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5438$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 63139)

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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: 3274765904View full group profile
NameSpecialtyState
Nurse PractitionerIL
Internal MedicineIL
Family Practice, HospitalistWI
H O S P I T A L I S TIL
Physician AssistantIL
Internal MedicineIL
Family Practice, HospitalistMO
H O S P I T A L I S TIL
Nurse PractitionerIL
H O S P I T A L I S TOK

Reviews

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Frequently asked questions

What identifier follows MELISSA DOAN across health systems?
The NPI 1114516671 uniquely identifies MELISSA DOAN in U.S. healthcare data.
Quick check: is MELISSA DOAN active?
Public NPPES data shows MELISSA DOAN with an active NPI status right now.
How should patients interpret MELISSA DOAN's specialty?
The extract shows Physician Assistant for MELISSA DOAN. Clinical services aligned with this taxonomy classification.
Can patients visit MELISSA DOAN in Saint Louis, Missouri?
For routing, start with Saint Louis, Missouri for MELISSA DOAN, then verify phone and hours locally.
Who maintains MELISSA DOAN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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