MELISSA NICHOLE DELONG (CNP) – Family Nurse Practitioner, NPI 1235901059

MELISSA NICHOLE DELONG (CNP) is a healthcare provider. based in Fort jennings, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. APRN.CNP.0032835 (OH). The NPI Number for MELISSA NICHOLE DELONG (CNP) is 1235901059

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA NICHOLE DELONG (CNP)
NPI
1235901059
Phone
(567) 712-0855
Address
15655 Road 23M
Enumeration Date
25 October 2023
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192223737
Graduation Year
2021 (5 years ago)
PAC ID
6002333705
Group Practice PAC ID
7012332364
Professional Enrollment ID
I20250506002977
Address ID
OH458052796LI803XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MELISSA NICHOLE DELONG (CNP)

  • 15655 Road 23M

    Fort Jennings, OH 458449021

    Phone: (567) 712-0855

    Type: Location

  • 900 Havemann Rd

    Celina, OH 458221870

    Phone: (419) 586-0990

    Type: Location

  • 15655 ROAD 23M

    FORT JENNINGS, OH 458449021

    Phone: (567) 712-0855

    Type: Mailing

  • 803 W MARKET ST STE 200

    LIMA, OH 458052796

    Phone: (419) 222-3737

    Fax: (419) 229-3234

    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: 2025-05-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250506002977INurse PractitionerOHTBD

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 45844)

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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: 7012332364View full group profile
NameSpecialtyState
Rheumatology, Internal MedicineOH
Sleep MedicineOH
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
N E U R O L O G YOH
Nurse PractitionerOH
Nurse PractitionerOH
Radiation OncologyNY
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MO
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do payers reference MELISSA NICHOLE DELONG (CNP)?
For MELISSA NICHOLE DELONG (CNP), use NPI 1235901059 as the unique 10-digit identifier.
Is there an active status for MELISSA NICHOLE DELONG (CNP)?
For scheduling context, MELISSA NICHOLE DELONG (CNP) is shown as active in the registry.
What expertise is attributed to MELISSA NICHOLE DELONG (CNP)?
MELISSA NICHOLE DELONG (CNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Ohio is MELISSA NICHOLE DELONG (CNP) registered?
Use Fort Jennings, Ohio as the headline location for MELISSA NICHOLE DELONG (CNP) here.
Can I trust this NPI listing for MELISSA NICHOLE DELONG (CNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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