Individual provider Active NPI

Melissa Bryson, F.N.P.

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1093164725
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
63520 Issued in NM
Practice address
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone
(505) 727-8360
NPI assigned
Jun 3, 2016
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340643 NY
Family Nurse Practitioner 363LF0000X 26022 SC
Family Nurse Practitioner 363LF0000X 63520 NM Primary
Family Nurse Practitioner 363LF0000X 5012551 NC

Addresses

Primary practice location

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

224 E Main St
Springville, NY 14141-1443
Phone (716) 592-2871

Other practice location 2

890 W Faris Rd Ste 580
Greenville, SC 29605-4281
Phone (864) 455-7874

Other identifiers 1

IdentifierTypeStateIssuer
63520OtherNMSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY, NC, NE, NM5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20161122001088 MI Practitioner - Nurse Practitioner 8325327018 Reassigns benefits to 3 organizations
I20171031000505 NY Practitioner - Nurse Practitioner 8325327018 Reassigns benefits to 1 organization
I20191219000382 NC Practitioner - Nurse Practitioner 8325327018 Reassigns benefits to 1 organization
I20210115000421 NE Practitioner - Nurse Practitioner 8325327018 Reassigns benefits to 1 organization
I20210716002167 NM Practitioner - Nurse Practitioner 8325327018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Michigan Physician Services PCGroup PAC ID 0143730671, 66 clinicians
Wexford Physician Services PCGroup PAC ID 3072024330, 39 clinicians
Otsego Physician Services PCGroup PAC ID 7416468954, 35 clinicians

Practice addresses (Care Compare)

14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Internist & Associates LLC CurrentSince Sep 1, 2017 Accepting new patients
Southeastern Regional Medical Center Current Accepting new patients
Otsego Physician Services PC CurrentSince Jul 20, 2025 Accepting new patients
Select Specialty Hospital Omaha Inc CurrentSince Jul 28, 2024 Accepting new patients
Wexford Physician Services PC CurrentSince Oct 26, 2025 Accepting new patients
Southeastern Regioinal Medical Center CurrentSince Jan 18, 2024 Accepting new patients
North Michigan Physician Services PC CurrentSince Aug 20, 2025 Accepting new patients

Locations

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

1870 S 75th St
Omaha, NE 68124
Phone (402) 361-5700

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Interoperability endpoints

  • Direct secure messaging: mbryson398072@ahs.direct-ci.com
  • Direct secure messaging: mbryson846127@direct.unc.nchie.net

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1093164725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DR MARTIN LUTHER KING JR AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023619",
            "telephone_number": "505-727-8360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 E Main St",
            "address_purpose": "LOCATION",
            "city": "Springville",
            "state": "NY",
            "postal_code": "141411443",
            "country_code": "US",
            "telephone_number": "716-592-2871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 W Faris Rd Ste 580",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054281",
            "country_code": "US",
            "telephone_number": "864-455-7874",
            "fax_number": "864-455-8933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340643",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26022",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "63520",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "63520",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.