Individual provider Active NPI

Melissa Emily Cyr, ANP

  • Nurse Practitioner
  • Apex, NC
National Provider Identifier
1053541003
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5019531 Issued in NC
Practice address
860 Perry Rd
Apex, NC 27502-7701
Phone
(919) 791-0840
Fax
(919) 791-0911
NPI assigned
Jul 23, 2009
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 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 5019531 NC Primary
Adult Health Nurse Practitioner 363LA2200X RN276020 MA

Addresses

Primary practice location

860 Perry Rd
Apex, NC 27502-7701

Mailing address

PO Box 18563
Raleigh, NC 27619-8563
Phone (919) 782-1806

Other practice location 1

5603 Duraleigh Rd Ste 111
Raleigh, NC 27612-2688
Phone (919) 791-0840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100301000245 MA Practitioner - Nurse Practitioner 5193862811 Reassigns benefits to 4 organizations
I20210305001673 NH Practitioner - Nurse Practitioner 5193862811 Reassigns benefits to 1 organization
I20240409001965 NC Practitioner - Nurse Practitioner 5193862811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians

Practice addresses (Care Compare)

860 Perry Rd
Apex, NC 27502-7701
Phone (919) 267-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN276020MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Medical Group, PA CurrentSince Apr 1, 2024 Accepting new patients
Campbell Dermatology PA CurrentSince Dec 1, 2020 Accepting new patients
Dermatology and Skin Health LLC CurrentSince Jan 1, 2023 Accepting new patients
Gary Mendese, MD, LLC CurrentSince Jan 1, 2023 Accepting new patients
Flynn Dermatology PA CurrentSince May 12, 2003 Accepting new patients
Internal Medicine Physicians of the North Shore LLC CurrentSince Jun 13, 2019 Accepting new patients

Locations

23 Centennial Dr
Peabody, MA 01960
Phone (978) 525-0100

27 Centennial Dr
Peabody, MA 01960
Phone (978) 525-0100

860 Perry Rd
Apex, NC 27502
Phone (919) 267-2222

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

5603 Duraleigh Rd
Raleigh, NC 27612

5603 Duraleigh Rd
Ste 111
Raleigh, NC 27612
Phone (919) 791-0840

784 Central Ave
Dover, NH 03820
Phone (603) 742-5556

1C Commons Dr
Unit 16
Londonderry, NH 03053
Phone (603) 818-8374

Interoperability endpoints

  • Direct secure messaging: mcyr56@familydermatology.emadirect.md

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1053541003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18563",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276198563",
            "telephone_number": "919-782-1806",
            "fax_number": "919-791-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 PERRY RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275027701",
            "telephone_number": "919-791-0840",
            "fax_number": "919-791-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5603 Duraleigh Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276122688",
            "country_code": "US",
            "telephone_number": "919-791-0840",
            "fax_number": "919-791-0911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CYR",
        "first_name": "MELISSA",
        "middle_name": "EMILY",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5019531",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN276020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.