Melissa A Charlebois, RPA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0102671 Issued in NY

Practice address

826 Washington St
Suite 204
Watertown, NY 13601-4063

Phone

(315) 788-1751

Fax

(315) 788-9021

NPI assigned

Sep 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Samaritan Medical Center

  • General Acute Care Hospital
  • Watertown, NY
  • NPI 1598713745
  Medicare reassignment
• Watertown Ear Nose and Throat GRP

  • Otolaryngology Physician
  • Watertown, NY
  • NPI 1407948011
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275529554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON ST",
            "address_2": "SUITE 204",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014063",
            "telephone_number": "315-788-1751",
            "fax_number": "315-788-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON ST",
            "address_2": "SUITE 204",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014063",
            "telephone_number": "315-788-1751",
            "fax_number": "315-788-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLEBOIS",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "RPA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "0102671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02634577",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Chamberlain
• Chui Chan
• Kevin Lenelle Chandler, MD
• Yong S Chang, DDS
• Andre Chaput, M.D.
• Cassandra Lynn Chase
• Chatterbox Speech and Language Therapy Services
• Mary Anne Chiappone, L. AC.
• Child and Adolescent Health Associates
• Daniel Joseph Childers

• Medical Physician Assistant in Watertown, NY
• Providers in Watertown, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.