Active NPI
Melyssa Lewis, DNP, BSN, CPNP-PC
- Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1265044747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 225129
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN60945219 | WA | MD | Pediatric Registered Nurse |
| 225129 | OK | MD | Nurse Practitioner |
| 259493 | AZ | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Kids Pediatrics LTD | Current | Accepting new patients | |
| QS Peds Med LLC | Current | 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.
-
- Urgent Care Clinic/Center
- Oklahoma City, OK
- NPI 1891426441
-
- Primary Care Clinic/Center
- Surprise, AZ
- NPI 1609311109
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.