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MELISSA WONG NP
NPI 1790184075
Nurse Practitioner - Adult Health in Petaluma, CA

Active since August 22, 2014PECOS EnrolledAccepts Medicare Assignment
1179 N MCDOWELL BLVD, PETALUMA, CA 94954(707) 559-7500(707) 559-7620 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 20, 2019, Dec 8, 2015 (2 updates tracked since 2015).

About Melissa Wong Np NPPES

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

MELISSA WONG NP (NPI 1790184075) is an individual adult health provider in Petaluma, California, licensed in California (95001163) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1790184075
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMELISSA WONGCredential: NP
Location Address1179 N MCDOWELL BLVDPetaluma, CA 94954-6559
Mailing Address1709 N. Mcdowell BlvdPetaluma, CA 94954 · (707) 559-7500 · Fax (707) 559-7620
Phone(707) 559-7500
Fax(707) 559-7620
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 22, 2014
Last NPPES UpdateSeptember 20, 20192 updates tracked since enumeration
✔ NPI 1790184075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95001163
1179 N MCDOWELL BLVD, Petaluma, CA 94954
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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

Melissa Wong Np 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 ID6608180369
PECOS Enrollment IDI20150810000208
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 Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Petaluma Health Center Inc
3.6 mi
Federally Qualified Health Center (FQHC)
1179 N MCDOWELL BLVD
Petaluma, CA 94954
  • Reassigned Medicare billing, California enrollment
  • 63 clinicians in this Medicare group
NPI 1588656268 (707) 559-7500

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 94954 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

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.

REBECCA KATZ FINNEMORE MD
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
ROXANA INFANTE
Physician Assistant
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
HEIDI DITTRICH NP
Nurse Practitioner (Family)
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
VANESSA ISELA BERMUDEZ-VILLALPANDO
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
DR. ANDREW BURNS ASHCROFT M.D.
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
DR. SHRADHA BIRADAR DO
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
JARED ANDREW INING DDS
Dentist
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
LORENA YANEZ-RAMIREZ ACSW
Social Worker (Clinical)
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500

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 Wong's NPI number?

The NPI number for Melissa Wong is 1790184075. It was assigned to this individual provider in the NPPES registry on August 22, 2014.

Where is Melissa Wong located?

Melissa Wong practices at 1179 N Mcdowell Blvd, Petaluma, CA 94954. The listed phone number is (707) 559-7500.

What is Melissa Wong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Melissa Wong enrolled in Medicare?

Yes. Melissa Wong 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 organization bills Medicare for Melissa Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Wong reassigns Medicare benefits to Petaluma Health Center Inc (Petaluma, CA). 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 Wong'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 Wong was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.