Individual provider Active NPI

Melissa Anne Raddatz, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1184966988
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F337791-1 Issued in NY
Practice address
2315 Broadway FRNT 4
Newyork-Presbyterian-Weill Cornell Medical Center
New York, NY 10024-4332
Phone
(212) 746-6000
Fax
(212) 962-0167
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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 F337791-1 NY Primary

Addresses

Primary practice location

2315 Broadway FRNT 4
Newyork-Presbyterian-Weill Cornell Medical Center
New York, NY 10024-4332

Mailing address

575 Lexington Ave RM 540
Newyork-Presbyterian-Weill Cornell Medical College
New York, NY 10022-6145
Phone (212) 746-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 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
I20131015000674 NY Practitioner - Nurse Practitioner 9739313313 Reassigns benefits to 2 organizations
I20171206000088 NC Practitioner - Nurse Practitioner 9739313313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

3000 Rogers Rd
Wake Forest, NC 27587-5743
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F337791-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hematology Lymphoma Group CurrentSince May 23, 2016 Accepting new patients
Memorial Hematology Lymphoma Group CurrentSince May 23, 2016 Accepting new patients
Weill Cornell Imaging at New York Presbyterian CurrentSince Nov 1, 2014 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Duke Health Integrated Practice, Inc CurrentSince Jul 1, 2023 Accepting new patients
Weill Cornell Medical Imaging CurrentSince Nov 1, 2014 Accepting new patients

Locations

100 Duke Health Cary Pl
Ste 120
Cary, NC 27519
Phone (919) 385-8120

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

162 Legacy Oaks Dr
Knightdale, NC 27545
Phone (919) 373-1800

3320 Wake Forest Rd
Ste 430
Raleigh, NC 27609
Phone (919) 876-7673

3000 Rogers Rd
Ste 310
Wake Forest, NC 27587
Phone (919) 385-2940

3000 Rogers Rd
Wake Forest, NC 27587
Phone (919) 385-1080

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

2315 Broadway
Frnt 4
New York, NY 10024
Phone (646) 962-9178

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

575 Lexington Ave
Rm 540
New York, NY 10022
Phone (646) 962-2543

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

Interoperability endpoints

  • Direct secure messaging: mraddatz323036@direct.medicine.duke.edu

Organizations & group practices 6

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 8

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1184966988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE RM 540",
            "address_2": "NEWYORK-PRESBYTERIAN-WEILL CORNELL MEDICAL COLLEGE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226145",
            "telephone_number": "212-746-6000",
            "fax_number": "646-962-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 BROADWAY FRNT 4",
            "address_2": "NEWYORK-PRESBYTERIAN-WEILL CORNELL MEDICAL CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244332",
            "telephone_number": "212-746-6000",
            "fax_number": "212-962-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADDATZ",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337791-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.