MRS. MELISSA WISAN EDRICH (M.S. CCC/SLP) – Speech-Language Pathologist, NPI 1538271911

MRS. MELISSA WISAN EDRICH (M.S. CCC/SLP) is a healthcare provider. based in Ft lauderdale, Florida. specializing in Speech-Language Pathologist. They hold the professional credentials M.S. CCC/SLP. They hold a License No. SA 4416 (FL). The NPI Number for MRS. MELISSA WISAN EDRICH (M.S. CCC/SLP) is 1538271911

Main info

Female
Name
MRS. MELISSA WISAN EDRICH (M.S. CCC/SLP)
NPI
1538271911
Phone
(954) 262-4346
Address
PO BOX 290370
Enumeration Date
31 August 2006
Last Update Date
27 January 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. MELISSA WISAN EDRICH (M.S. CCC/SLP)

  • PO BOX 290370

    FT LAUDERDALE, FL 333290370

    Phone: (954) 262-4346

    Fax: (954) 262-2269

    Type: Mailing

  • 6100, Griffin Road, Downtown Davie, Davie, Broward County, Florida, 33314, United States

    DAVIE, FL 333144416

    Phone: (954) 262-7782

    Fax: (954) 262-2847

    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: 2019-03-20

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
I20190320000177IQualified Speech Language PathologistFLTBD

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

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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 33329)

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Reviews

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Frequently asked questions

Does MRS. MELISSA WISAN EDRICH (M.S. CCC/SLP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. MELISSA WISAN EDRICH (M.S. CCC/SLP) uses 1538271911.
Can I rely on MRS. MELISSA WISAN EDRICH (M.S. CCC/SLP) being an active provider?
As of the registry snapshot, MRS. MELISSA WISAN EDRICH (M.S. CCC/SLP) is marked active.
What healthcare role does MRS. MELISSA WISAN EDRICH (M.S. CCC/SLP) hold?
Scheduling teams often label MRS. MELISSA WISAN EDRICH (M.S. CCC/SLP) under Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. MELISSA WISAN EDRICH (M.S. CCC/SLP) on a map?
Expect Ft Lauderdale, Florida as a primary anchor for MRS. MELISSA WISAN EDRICH (M.S. CCC/SLP) unless the record lists multiple sites.
Why does MRS. MELISSA WISAN EDRICH (M.S. CCC/SLP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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