Individual provider Active NPI

Melissa Morrison, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1013289115
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
336991 Issued in NY
Practice address
241 W 57TH St
New York, NY 10019-2121
Phone
(646) 712-4895
NPI assigned
Feb 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 336991 NY
Family Nurse Practitioner 363LF0000X 336991 NY Primary

Addresses

Primary practice location

241 W 57TH St
New York, NY 10019-2121

Mailing address

80 Kimberly Rd
Colonia, NJ 07067-1008
Phone (646) 712-4895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130828000759 NY Practitioner - Nurse Practitioner 1456594175 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SG Medical Professional PCGroup PAC ID 9133646953, 17 clinicians

Practice addresses (Care Compare)

260 Christopher LN
Suite 102a
Staten Island, NY 10314-1631
Phone (631) 759-9920

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Extended Home Care Home health agency, Brooklyn, NY, CCN 337414
  • Preferred Certified Home health agency, Mount Vernon, NY, CCN 337458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SG Medical Professional PC CurrentSince Jul 1, 2025 Accepting new patients
Progressive Care Medical Group, PLLC Nurse Practitioner CurrentSince May 1, 2024 Accepting new patients
Daniel S. Berman, M.D., Infectious Diseases P.C. CurrentSince Feb 2, 2025 Accepting new patients
Jasjit K. Pawha, Physician, P.C. PastSince Sep 17, 2013 Accepting new patients

Locations

1235 Pelham Pkwy N
Bronx, NY 10469
Phone (718) 231-4300

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

491 State Route 208
Ste 211
Monroe, NY 10950
Phone (718) 633-7828

801 W 190th St
New York, NY 10040
Phone (212) 543-5000

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892

150 Eileen Way
Unit 1
Syosset, NY 11791
Phone (516) 855-5255

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731196800000",
    "number": "1013289115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 KIMBERLY RD",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671008",
            "telephone_number": "646-712-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192121",
            "telephone_number": "646-712-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "336991",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.