Individual provider Active NPI

Melissa Reljac, NNP

  • Neonatal Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1265858260
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
350540 Issued in NY
Practice address
15176 Majorca St
Dallas, TX 75248-6423
Phone
(817) 901-4764
NPI assigned
Mar 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 350540 NY Primary

Addresses

Primary practice location

15176 Majorca St
Dallas, TX 75248-6423

Mailing address

98 Riverside Dr # 15E
New York, NY 10024-5323
Phone (817) 901-4764

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
I20230623001245 NY Practitioner - Nurse Practitioner 6901264902 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince May 16, 2023 Accepting new patients
New York University CurrentSince May 16, 2023 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

500 1st Ave
New York, NY 10016
Phone (212) 562-4141

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: mreljac2927660@direct.trinity-health.org

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": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1265858260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 RIVERSIDE DR # 15E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245323",
            "telephone_number": "817-901-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15176 MAJORCA ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752486423",
            "telephone_number": "817-901-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELJAC",
        "first_name": "MELISSA",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NY",
            "license": "350540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.