MELANIE MARY QUEENER – Medical Physician Assistant, NPI 1609513654

MELANIE MARY QUEENER is a healthcare provider. based in Cuyahoga falls, Ohio. specializing in PHYSICIAN ASSISTANT. They hold a License No. 50.007740RX (OH). The NPI Number for MELANIE MARY QUEENER is 1609513654

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MELANIE MARY QUEENER
NPI
1609513654
Phone
(248) 505-5994
Address
211 JOHNSON AVE
Enumeration Date
19 May 2022
Last Update Date
8 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3302874500
Graduation Year
2022 (4 years ago)
PAC ID
7012393119
Group Practice PAC ID
6800708124
Professional Enrollment ID
I20220927002108
Address ID
OH446912204WO1740XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,036 PHYSICIAN ASSISTANT in OH

Provider Addresses for MELANIE MARY QUEENER

  • 211 JOHNSON AVE

    CUYAHOGA FALLS, OH 442211733

    Phone: (248) 505-5994

    Type: Mailing

  • 1740 CLEVELAND RD

    WOOSTER, OH 446912204

    Phone: (330) 287-4500

    Type: Mailing

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 $206.

Total Amount is formed as General ($206) + Research ($0) + Ownership ($0) = $206.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($118).

Total Amount

$206

General + Research + Ownership

Payments

2

Total payment records

General Amount

$206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-09-27

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
I20220927002108IPhysician AssistantOHTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 44221)

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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: 6800708124View full group profile
NameSpecialtyState
Physician AssistantOH
-OH
P A T H O L O G YOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
-OH
Diagnostic Radiology, NeurologyOH

Reviews

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Frequently asked questions

Can I verify MELANIE MARY QUEENER with an NPI only?
You can start verification with NPI 1609513654 for MELANIE MARY QUEENER, then check state licensing separately.
Is MELANIE MARY QUEENER still practicing?
MELANIE MARY QUEENER is currently listed as active in the public NPI registry.
What is MELANIE MARY QUEENER's primary classification?
Medical Physician Assistant is the headline specialty for MELANIE MARY QUEENER here. Clinical services aligned with this taxonomy classification.
What area does MELANIE MARY QUEENER serve?
MELANIE MARY QUEENER's listing highlights Cuyahoga Falls, Ohio; more addresses can appear in NPPES.
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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