MELYSSA DIANE WILDE
NPI 1376162784
Obstetrics & Gynecology in East Norriton, PA

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment
609 W GERMANTOWN PIKE STE 220, EAST NORRITON, PA 19403(484) 622-7940 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2025, Jun 23, 2020, Apr 15, 2020 (3 updates tracked since 2020).

About Melyssa Diane Wilde NPPES

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

MELYSSA DIANE WILDE (NPI 1376162784) is an individual obstetrics & gynecology provider in East Norriton, Pennsylvania, licensed in Pennsylvania (MD484622) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Einstein Medical Center Montgomery, and is a graduate of University Of Washington School Of Medicine (2020).

NPPES Registry Identity

NPI1376162784
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMELYSSA DIANE WILDE
Location Address609 W GERMANTOWN PIKE STE 220East Norriton, PA 19403-4261
Mailing Address609 W Germantown Pike Ste 220East Norriton, PA 19403-4261 · (484) 622-7940
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2020
Enumeration DateApril 15, 2020
Last NPPES UpdateApril 9, 20253 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1376162784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD484622
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TL.0008180 (CO)
609 W GERMANTOWN PIKE STE 220, East Norriton, PA 19403

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melyssa Diane Wilde 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 ID2466876321
PECOS Enrollment IDI20240906000324
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Melyssa Wilde reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
609 W GERMANTOWN PIKE STE 220
East Norriton, PA 19403
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 192 clinicians in this Medicare group
Cardiovascular Disease
ONE PENN BLVD
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Advanced Practice Midwife
609 W GERMANTOWN PIKE STE 220
EAST NORRITON, PA 19403
Obstetrics & Gynecology
609 W GERMANTOWN PIKE STE 220
EAST NORRITON, PA 19403
Obstetrics & Gynecology
609 W GERMANTOWN PIKE STE 220
EAST NORRITON, PA 19403
Obstetrics & Gynecology
609 W GERMANTOWN PIKE STE 220
EAST NORRITON, PA 19403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melyssa Wilde's NPI number?

The NPI number for Melyssa Wilde is 1376162784. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Melyssa Wilde located?

Melyssa Wilde practices at 609 W Germantown Pike Ste 220, East Norriton, PA 19403. The listed phone number is (484) 622-7940.

What is Melyssa Wilde's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Melyssa Wilde enrolled in Medicare?

Yes. Melyssa Wilde is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Melyssa Wilde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melyssa Wilde reassigns Medicare benefits to 2 organizations: Fornance Physician Services, Inc. (East Norriton, PA) and Einstein Practice Plan Inc (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melyssa Wilde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Melyssa Wilde affiliated with any hospitals?

According to CMS data, Melyssa Wilde is affiliated with Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Melyssa Wilde was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.