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MELISSA CLISCH FNP
NPI 1902436447
Nurse Practitioner in Canton, MI

Active since January 23, 2020PECOS EnrolledAccepts Medicare Assignment
43821 FORD RD, CANTON, MI 48187(734) 656-1021(734) 656-1022 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 19, 2023, Jan 23, 2020 (2 updates tracked since 2020).

About Melissa Clisch Fnp NPPES

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

MELISSA CLISCH FNP (NPI 1902436447) is an individual nurse practitioner in Canton, Michigan, licensed in Michigan (4704316144) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902436447
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELISSA CLISCHCredential: FNP
Location Address43821 FORD RDCanton, MI 48187-3122
Mailing Address43821 Ford RdCanton, MI 48187-3122 · (734) 656-1021 · Fax (734) 656-1022
Phone(734) 656-1021
Fax(734) 656-1022
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 23, 2020
Last NPPES UpdateOctober 19, 20232 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
✔ NPI 1902436447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704316144
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
43821 FORD RD, Canton, MI 48187
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12300 Genoa Business Park Dr Ste 120Brighton, MI 48114-7368 · Phone (810) 844-0400
Location 25800 Highland RdWaterford, MI 48327-1827 · Phone (248) 290-5700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 Clisch Fnp 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 ID6507293123
PECOS Enrollment IDI20200220002080
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 48187 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 Melissa Clisch's NPI number?

The NPI number for Melissa Clisch is 1902436447. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Where is Melissa Clisch located?

Melissa Clisch practices at 43821 Ford Rd, Canton, MI 48187. The listed phone number is (734) 656-1021.

What is Melissa Clisch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melissa Clisch enrolled in Medicare?

Yes. Melissa Clisch 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 Clisch accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Melissa Clisch 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 Melissa Clisch was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.