MELISSA SUSAN NIELSEN
NPI 1255403424
Physical Therapist - Pediatrics in Crystal Lake, IL

Q: What is Melissa Nielsen's NPI number?

The NPI number for Melissa Nielsen is 1255403424. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Melissa Nielsen's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Nielsen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 14, 2006Accepts Medicare Assignment

1095 PINGREE RD, SUITE119, CRYSTAL LAKE, IL 60014(847) 458-8890(847) 458-8889 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Melissa Susan Nielsen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA SUSAN NIELSEN (NPI 1255403424) is an individual pediatrics provider in Crystal Lake, Illinois and active in the NPI registry since November 2006. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1255403424

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameMELISSA SUSAN NIELSEN

Location Address1095 PINGREE RD, SUITE119Crystal Lake, IL 60014-1725

Mailing Address9171 Falcon Greens DrVillage Of Lakewood, IL 60014-3322

Phone(847) 458-8890

Fax(847) 458-8889

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1255403424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

1095 PINGREE RD, Crystal Lake, IL 60014

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Susan Nielsen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345762589

PECOS Enrollment IDI20250318001414

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTY A BENTON A.P.N.

Nurse Practitioner (Family)

1095 PINGREE RD, SUITE 108
CRYSTAL LAKE, IL 60014

McHenry County (847) 658-2400

MRS. STEPHANIE LYN SCHOOF M.S. CCC-SLP/L

Speech-Language Pathologist