MELISSIA ELISA GROSJEAN (PA-C) – Physician Assistant, NPI 1063958817

MELISSIA ELISA GROSJEAN (PA-C) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA058827 (PA). The NPI Number for MELISSIA ELISA GROSJEAN (PA-C) is 1063958817

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MELISSIA ELISA GROSJEAN (PA-C)
NPI
1063958817
Phone
(267) 597-6000
Address
3502 SCOTTS LN STE 2132
Enumeration Date
17 January 2017
Last Update Date
17 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8608720501
Graduation Year
2016 (10 years ago)
PAC ID
4183984891
Group Practice PAC ID
8628104072
Professional Enrollment ID
I20260210003236
Address ID
CT060663126VE31XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for MELISSIA ELISA GROSJEAN (PA-C)

  • Scotts Lane, Philadelphia, Philadelphia County, Pennsylvania, 19129, United States

    PHILADELPHIA, PA 191291569

    Phone: (267) 597-6000

    Type: Mailing

  • Einstein Medical Center Philadelphia, 5501, Old York Road, Tabor, Philadelphia, Philadelphia County, Pennsylvania, 19141, United States

    PHILADELPHIA, PA 191413018

    Phone: (215) 456-7890

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-06-28 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-28

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: 2026-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20200128002360IPhysician AssistantPATBD
I20220428002080IPhysician AssistantMDTBD
I20260210003236IPhysician AssistantCTTBD

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 minutes11683$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11277$0
99239Hospital discharge day management, more than 30 minutes8080$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6564$0
99238Hospital discharge day management, 30 minutes or less5151$0
View full utilization report →

Insurance plans in this area (ZIP 19129)

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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: 8628104072View full group profile
NameSpecialtyState
Family Practice, Family Practice, HospitalistCT
-CT
Family PracticeCT
-CT
Family Practice, Hospitalist, Family PracticeMA
Internal Medicine, HospitalistNY
Internal MedicineCT
Internal MedicineRI
Nurse PractitionerTX
Internal MedicineTX

Reviews

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Frequently asked questions

How do payers reference MELISSIA ELISA GROSJEAN (PA-C)?
For MELISSIA ELISA GROSJEAN (PA-C), use NPI 1063958817 as the unique 10-digit identifier.
Is there an active status for MELISSIA ELISA GROSJEAN (PA-C)?
For scheduling context, MELISSIA ELISA GROSJEAN (PA-C) is shown as active in the registry.
What clinical focus is listed for MELISSIA ELISA GROSJEAN (PA-C)?
At a glance, MELISSIA ELISA GROSJEAN (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MELISSIA ELISA GROSJEAN (PA-C)?
Directory geography for MELISSIA ELISA GROSJEAN (PA-C) centers on Philadelphia, Pennsylvania.
Can I trust this NPI listing for MELISSIA ELISA GROSJEAN (PA-C)?
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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