Individual provider Active NPI

Melissa Noach Moreira, AGNP-C

  • Adult Health Nurse Practitioner
  • Danbury, CT
National Provider Identifier
1154073955
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310738 Issued in NY
Practice address
12 Clapboard Ridge Rd Unit 9
Danbury, CT 06811-4559
Phone
(845) 282-2540
NPI assigned
Jan 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 10597 CT
Adult Health Nurse Practitioner 363LA2200X 310738 NY Primary

Addresses

Primary practice location

12 Clapboard Ridge Rd Unit 9
Danbury, CT 06811-4559

Mailing address

12 Clapboard Ridge Rd Unit 9
Danbury, CT 06811-4559
Phone (845) 282-2540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220829001429 NY Practitioner - Nurse Practitioner 0840674677 Reassigns benefits to 2 organizations
I20230427001343 CT Practitioner - Nurse Practitioner 0840674677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118

480 Bedford Rd
Chappaqua, NY 10514-1715
Phone (914) 458-8769

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 6, 2022 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 6, 2022 Accepting new patients
North Shore-Lij Medical PC CurrentSince Aug 1, 2025 Accepting new patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Apr 24, 2023 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

480 Bedford Rd
Chappaqua, NY 10514
Phone (866) 997-5781

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

300 Community Dr
Plandome, NY 11030

355 Kear St
Yorktown Hts, NY 10598
Phone (914) 962-5060

Philadelphia, PA 19195

Networks

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

Interoperability endpoints

  • Direct secure messaging: mmoreira416863@northwell.direct-ci.com
  • Direct secure messaging: melissanoachmoreira@nslijmedgr.allscriptsdirect.net

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 2

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": "1642896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1154073955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CLAPBOARD RIDGE RD UNIT 9",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114559",
            "telephone_number": "845-282-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CLAPBOARD RIDGE RD UNIT 9",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114559",
            "telephone_number": "845-282-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREIRA",
        "first_name": "MELISSA",
        "middle_name": "NOACH",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-23",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "10597",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.