DR. MELISSA SHANNON SLOVAK-TUCKER (M.D.) – Obstetrics & Gynecology Physician, NPI 1477540003

DR. MELISSA SHANNON SLOVAK-TUCKER (M.D.) is a healthcare provider. based in Longview, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. L7890 (TX). The NPI Number for DR. MELISSA SHANNON SLOVAK-TUCKER (M.D.) is 1477540003

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELISSA SHANNON SLOVAK-TUCKER (M.D.)
NPI
1477540003
Phone
(903) 212-4763
Address
1107 E MARSHALL AVE
Enumeration Date
29 September 2005
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9037582610
Graduation Year
2000 (26 years ago)
PAC ID
7214909696
Group Practice PAC ID
1254367766
Professional Enrollment ID
I20040806000852
Address ID
TX756041909LO1701XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for DR. MELISSA SHANNON SLOVAK-TUCKER (M.D.)

  • 1107, East Marshall Avenue, Longview, Gregg County, Texas, 75601, United States

    LONGVIEW, TX 756015602

    Phone: (903) 212-4763

    Fax: (903) 758-7081

    Type: Mailing

  • West Mulberry Avenue, Mount Pleasant, Pleasantville, Atlantic County, New Jersey, 08232, United States

    STE 250

    MOUNT PLEASANT, TX 754552927

    Phone: (903) 572-4664

    Fax: (903) 572-4647

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $311.

Total Amount is formed as General ($311) + Research ($0) + Ownership ($0) = $311.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($88).

Total Amount

$311

General + Research + Ownership

Payments

15

Total payment records

General Amount

$311

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

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: 2004-08-06

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
I20040806000852IObstetrics/GynecologyTXTBD

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 75601)

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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: 1254367766View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
Nurse PractitionerTX
Certified Nurse Midwife (Cnm)TX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Family PracticeTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How is DR. MELISSA SHANNON SLOVAK-TUCKER (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MELISSA SHANNON SLOVAK-TUCKER (M.D.) with NPI 1477540003.
Can I rely on DR. MELISSA SHANNON SLOVAK-TUCKER (M.D.) being an active provider?
As of the registry snapshot, DR. MELISSA SHANNON SLOVAK-TUCKER (M.D.) is marked active.
What is DR. MELISSA SHANNON SLOVAK-TUCKER (M.D.)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for DR. MELISSA SHANNON SLOVAK-TUCKER (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. MELISSA SHANNON SLOVAK-TUCKER (M.D.) based?
DR. MELISSA SHANNON SLOVAK-TUCKER (M.D.) is tied to Longview, Texas in the data we show; additional addresses may exist on the full record.
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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