Individual provider Active NPI

Melissa Theresa McCormick, FNP-C

  • Family Nurse Practitioner
  • Auburn, NY
National Provider Identifier
1194617522
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
356915 Issued in NY
Practice address
100 Teller Ave
Auburn, NY 13021-4241
Phone
(315) 730-8241
NPI assigned
Jul 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 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 356915 NY Primary

Addresses

Primary practice location

100 Teller Ave
Auburn, NY 13021-4241

Mailing address

100 Teller Ave
Auburn, NY 13021-4241
Phone (315) 730-8241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251113003361 NY Practitioner - Nurse Practitioner 7517458938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusacare Medical Services,P.C.Group PAC ID 6305880030, 2 clinicians

Practice addresses (Care Compare)

4811 Buckley Rd
Liverpool, NY 13088-3629
Phone (315) 457-3091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
356915NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusacare Medical Services,P.C. CurrentSince Sep 5, 2025 Accepting new patients

Locations

5415 W Genesee St
Ste 203
Camillus, NY 13031
Phone (315) 324-6677

4811 Buckley Rd
Liverpool, NY 13088
Phone (315) 457-3091

8360 Seneca Tpke
Ste B
New Hartford, NY 13413

Interoperability endpoints

  • Direct secure messaging: npmccormick@infusacare.medentdirect.com

Organizations & group practices 1

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": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1194617522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TELLER AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214241",
            "telephone_number": "315-730-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TELLER AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214241",
            "telephone_number": "315-730-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "MELISSA",
        "middle_name": "THERESA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "356915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.