Individual provider Active NPI

Melyssa Lewis, DNP, BSN, CPNP-PC

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1265044747
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
225129 Issued in OK
Practice address
9480 N May Ave
Oklahoma City, OK 73120-2712
Phone
(405) 876-7876
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 225129 OK Primary
Emergency Registered Nurse 163WE0003X 259493 AZ
Pediatric Nurse Practitioner 363LP0200X 259493 AZ
Pediatric Registered Nurse 163WP0200X RN60945219 WA

Addresses

Primary practice location

9480 N May Ave
Oklahoma City, OK 73120-2712

Mailing address

9480 N May Ave
Oklahoma City, OK 73120-2712

Other names 1

  • Melyssa Carlson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN60945219WAMDPediatric Registered Nurse
225129OKMDNurse Practitioner
259493AZMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Kids Pediatrics LTD CurrentSince Jan 22, 2023 Accepting new patients
QS Peds Med LLC CurrentSince Nov 7, 2025 Accepting new patients

Locations

14823 W Bell Rd
Ste 208
Surprise, AZ 85374
Phone (623) 225-7030

1221 N Kelly Ave
Edmond, OK 73003
Phone (405) 285-8799

8500 S Western Ave
Oklahoma City, OK 73139

9480 N May Ave
Oklahoma City, OK 73120
Phone (405) 876-7876

Organizations & group practices 2

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1265044747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202712",
            "telephone_number": "405-876-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MELYSSA",
        "credential": "DNP, BSN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "225129",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "259493",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "259493",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "WA",
            "license": "RN60945219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELYSSA",
            "last_name": "CARLSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.