Individual provider Active NPI

Melissa Meyer, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Watertown, CT
National Provider Identifier
1184133738
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.007260 Issued in CT
Practice address
70 Fieldwood Rd
Watertown, CT 06795-3023
Phone
(860) 866-6234
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12.007260 CT Primary

Addresses

Primary practice location

70 Fieldwood Rd
Watertown, CT 06795-3023

Mailing address

70 Fieldwood Dr
Watertown, CT 06795-3023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20180219002882 CT Practitioner - Nurse Practitioner 2567723323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12.007260CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Vascular, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Town and Country Pediatrics and Family Medicine, P.C. CurrentSince Jan 12, 2018 Accepting new patients
Corebella Health LLC Past Accepting new patients

Locations

132 Federal Rd
Ste 107
Danbury, CT 06811
Phone (203) 470-9156

380 Main St
Ste 1
Watertown, CT 06795
Phone (860) 274-8891

380 Main St
Watertown, CT 06795
Phone (860) 232-2740

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDIBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1184133738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 FIELDWOOD DR",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 FIELDWOOD RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953023",
            "telephone_number": "860-866-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MELISSA",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.007260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

Verify at the official NPI Registry.