MELISSA WISEHEART
NPI 1851904684
Nurse Practitioner - Acute Care in Detroit, MI

Active since August 31, 2020PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
4160 JOHN R ST STE 925, DETROIT, MI 48201(313) 745-7247(313) 993-0500 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 18, 2023, Sep 4, 2020 (2 updates tracked since 2020).

About Melissa Wiseheart NPPES

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

MELISSA WISEHEART (NPI 1851904684) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704255849) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1851904684
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMELISSA WISEHEART
Location Address4160 JOHN R ST STE 925Detroit, MI 48201-2017
Mailing Address4160 John R St Ste 925Detroit, MI 48201-2017 · (313) 745-7247 · Fax (313) 993-0500
Fax(313) 993-0500
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 31, 2020
Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1851904684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704255849
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704255849 (MI)
4160 JOHN R ST STE 925, Detroit, MI 48201

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

Melissa Wiseheart 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 ID6507284312
PECOS Enrollment IDI20200910002378
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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.

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.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.55
Promoting Interoperability100
Improvement Activities40
Cost52.03

Reported Quality Measures

Breast Cancer Screening
43%21 patients2/55-star benchmark: 93%
Cervical Cancer Screening
19%27 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
15%109 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
96%69 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
94%62 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
42%55 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%58 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 94 patients
Patients screened: 98% · 94 patients
97%29 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
58%53 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
71%21 patients3/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4160 JOHN R ST STE 925
DETROIT, MI 48201
Physician Assistant
4160 JOHN R ST STE 925
DETROIT, MI 48201
Neurological Surgery
4160 JOHN R ST STE 925
DETROIT, MI 48201
Neurological Surgery
4160 JOHN R ST STE 925
DETROIT, MI 48201
Nurse Practitioner (Acute Care)
4160 JOHN R ST STE 925
DETROIT, MI 48201
Nurse Practitioner (Family)
4160 JOHN R ST STE 925
DETROIT, MI 48201
Nurse Practitioner (Primary Care)
4160 JOHN R ST STE 925
DETROIT, MI 48201
Nurse Practitioner
4160 JOHN R ST STE 925
DETROIT, MI 48201

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 Wiseheart's NPI number?

The NPI number for Melissa Wiseheart is 1851904684. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Where is Melissa Wiseheart located?

Melissa Wiseheart practices at 4160 John R St Ste 925, Detroit, MI 48201. The listed phone number is (313) 745-7247.

What is Melissa Wiseheart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Melissa Wiseheart enrolled in Medicare?

Yes. Melissa Wiseheart 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 Melissa Wiseheart accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Melissa Wiseheart 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 Melissa Wiseheart affiliated with any hospitals?

According to CMS data, Melissa Wiseheart is affiliated with Harper University Hospital and Detroit Receiving Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Wiseheart was last updated on July 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.