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MARY JANE MELONG NP
NPI 1659050730
Nurse Practitioner - Gerontology in Ypsilanti, MI

Active since July 14, 2023PECOS Enrolled
7775 TROTTERS PARK ST, YPSILANTI, MI 48197(734) 340-9443(734) 615-5974 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Jane Melong Np NPPES

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

MARY JANE MELONG NP (NPI 1659050730) is an individual gerontology provider in Ypsilanti, Michigan, licensed in Michigan (AG03230006) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659050730
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARY JANE MELONGCredential: NP
Location Address7775 TROTTERS PARK STYpsilanti, MI 48197-1861
Mailing Address7775 Trotters Park StYpsilanti, MI 48197-1861
Phone(734) 340-9443
Fax(734) 615-5974
Sole ProprietorYes
Enumeration DateJuly 14, 2023
NPPES CertifiedJuly 14, 2023
✔ NPI 1659050730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MI · AG03230006
7775 TROTTERS PARK ST, Ypsilanti, MI 48197
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Jane Melong Np 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 Mary Jane Melong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
965 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 48197 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 Mary Jane Melong's NPI number?

The NPI number for Mary Jane Melong is 1659050730. It was assigned to this individual provider in the NPPES registry on July 14, 2023.

Where is Mary Jane Melong located?

Mary Jane Melong practices at 7775 Trotters Park St, Ypsilanti, MI 48197. The listed phone number is (734) 340-9443.

What is Mary Jane Melong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mary Jane Melong enrolled in Medicare?

Yes. Mary Jane Melong is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Jane Melong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jane Melong reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Mary Jane Melong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Jane Melong accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Mary Jane Melong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Jane Melong was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.