MELANIE CARLISLE PAC
NPI 1811060163
Physician Assistant - Medical in Kalamazoo, MI

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
601 JOHN ST, BOX 74, KALAMAZOO, MI 49007(269) 341-8481(269) 341-7781 Get Directions Write a Review

NPPES record last updated: November 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melanie Carlisle Pac NPPES

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

MELANIE CARLISLE PAC (NPI 1811060163) is an individual medical provider in Kalamazoo, Michigan, licensed in Michigan (5601004849) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Bronson South Haven Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1811060163
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMELANIE CARLISLECredential: PAC
Location Address601 JOHN ST, BOX 74Kalamazoo, MI 49007-5341
Mailing Address601 John St, Box 74Kalamazoo, MI 49007-5341 · (269) 341-8481 · Fax (269) 341-7781
Fax(269) 341-7781
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 16, 2006
Last NPPES UpdateNovember 7, 2014
NPI 1811060163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601004849
601 JOHN ST, Kalamazoo, MI 49007

Other Names 1

Former Name (1)Melanie Podgorski Pac

Other Identifiers 3

Medicare PINC97618136MI
Other160C976180MI · Bcbsm
Medicaid1811060163MI

Accepted Insurance

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

Melanie Carlisle Pac 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 ID4880696004
PECOS Enrollment IDI20070131000728
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Bronson South Haven Hospital

Acute Care Hospitals · South Haven, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230085
Location955 S Bailey AveSouth Haven, MI 49090 · Van Buren County
Emergency services

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

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.

Obstetrics & Gynecology
601 JOHN ST, SUITE N1200
KALAMAZOO, MI 49007
Emergency Medicine
601 JOHN ST
KALAMAZOO, MI 49007
Physician Assistant
601 JOHN ST, BOX 74
KALAMAZOO, MI 49007
Nurse Anesthetist, Certified Registered
601 JOHN ST
KALAMAZOO, MI 49007
Internal Medicine (Critical Care Medicine)
601 JOHN ST, SUITE M-510
KALAMAZOO, MI 49007
Internal Medicine
601 JOHN ST, SUITE M-170
KALAMAZOO, MI 49007
Dietitian, Registered
601 JOHN ST
KALAMAROO, MI 49007
Internal Medicine
601 JOHN ST
KALAMAZOO, MI 49007

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 Melanie Carlisle's NPI number?

The NPI number for Melanie Carlisle is 1811060163. It was assigned to this individual provider in the NPPES registry on November 16, 2006. The provider is also known as Melanie Podgorski Pac.

Where is Melanie Carlisle located?

Melanie Carlisle practices at 601 John St Box 74, Kalamazoo, MI 49007. The listed phone number is (269) 341-8481.

What is Melanie Carlisle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Melanie Carlisle enrolled in Medicare?

Yes. Melanie Carlisle 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.

What insurance does Melanie Carlisle accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Melanie Carlisle 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.

Is Melanie Carlisle affiliated with any hospitals?

According to CMS data, Melanie Carlisle is affiliated with Bronson South Haven Hospital and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Carlisle was last updated on November 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.