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

Q: 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.

Q: What is Melissa Wong's specialty?

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

Q: 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 6 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.

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: August 16, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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