Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melyssa Diane Wilde

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376162784

Melyssa Diane Wilde is an Obstetrics/Gynecology in East Norriton, Pennsylvania. Graduated from University of Washington School of Medicine in 2020, 6 years ago. Practices with Fornance Physician Services Inc, a 102-clinician group and accepts Medicare assignment. Licensed in Colorado and Pennsylvania.

Years since qualifying
6
Trained at
University of Washington School of Medicine
Licensed in
CO, PA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

609 W Germantown Pike Ste 220
East Norriton, PA 19403-4261
Phone: (484) 622-7940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD484622 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TL.0008180 (CO)

Record details

NPI number1376162784
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2020
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Fornance Physician Services Inc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Norriton