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MRS. MELISSA JEAN MORK APNP, RN
NPI 1407162092
Nurse Practitioner - Family in Mount Pleasant, WI

Active since August 20, 2010PECOS Enrolled
4328 OLD GREEN BAY ROAD, MOUNT PLEASANT, WI 53403(262) 687-7606(262) 687-7615 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 2, 2021, Mar 19, 2019 (2 updates tracked since 2019).

About Mrs. Melissa Jean Mork Apnp, Rn NPPES

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

MRS. MELISSA JEAN MORK APNP, RN (NPI 1407162092) is an individual family provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (9114-33) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407162092
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MELISSA JEAN MORKCredential: APNP, RN
Location Address4328 OLD GREEN BAY ROADMount Pleasant, WI 53403
Mailing Address4328 Old Green Bay RoadMount Pleasant, WI 53403 · (262) 687-7606 · Fax (262) 687-7615
Phone(262) 687-7606
Fax(262) 687-7615
Sole ProprietorNo
Enumeration DateAugust 20, 2010
Last NPPES UpdateJune 2, 20212 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
✔ NPI 1407162092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in WI · 9114-33✔ Licensed in IL · 209012202✔ Licensed in TX · 717304
Also ListedFamily MedicineTaxonomy 207Q00000X · License APNWI9114-33 (WI)
4328 OLD GREEN BAY ROAD, Mount Pleasant, WI 53403
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Other Names 1

Former Name (1)Melissa Jean Collins Apnp, Rn

Secondary Practice Locations 2

Location 111200 Lincoln Hwy, Minute ClinicMokena, IL 60448-8208 · Phone (815) 464-2171
Location 2240 E Hampton RdWhitefish Bay, WI 53217-5850 · Phone (414) 962-7071 ext. 53217

Other Identifiers 1

Medicaid9114-33WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Melissa Jean Mork Apnp, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Melissa Mork reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascension Medical Group-Southeast Wisconsin Inc
26 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53403 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Melissa Mork's NPI number?

The NPI number for Melissa Mork is 1407162092. It was assigned to this individual provider in the NPPES registry on August 20, 2010. The provider is also known as Melissa Jean Collins Apnp, Rn.

Where is Melissa Mork located?

Melissa Mork practices at 4328 Old Green Bay Road, Mount Pleasant, WI 53403. The listed phone number is (262) 687-7606.

What is Melissa Mork's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melissa Mork enrolled in Medicare?

Yes. Melissa Mork is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Mork's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Mork reassigns Medicare benefits to Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). The 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 Melissa Mork's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Mork was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.