Individual provider Active NPI

Melissa Lee Lemeteyer, APRN

  • Family Nurse Practitioner
  • Long Island City, NY
National Provider Identifier
1366008237
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN252890 Issued in GA
Practice address
4540 Center Blvd Apt 404
Long Island City, NY 11109-5788
Phone
(816) 803-5817
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X RN252890 GA
Primary Care Nurse Practitioner 363LP2300X RN252890 GA
Family Nurse Practitioner 363LF0000X RN252890 GA Primary
Acute Care Nurse Practitioner 363LA2100X RN252890 GA

Addresses

Primary practice location

4540 Center Blvd Apt 404
Long Island City, NY 11109-5788

Mailing address

4540 Center Blvd Apt 404
Long Island City, NY 11109-5788

Other names 1

  • Melissa Childress Former name

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
I20240611002208 NY Practitioner - Nurse Practitioner 2860934452 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN252890GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Cardiopulmonary Group CurrentSince May 20, 2024 Accepting new patients
Np2Me LLC CurrentSince Nov 1, 2019 Accepting new patients
Marsha Medical Group of Ca, P.C. Past Accepting new patients

Locations

1421 Peachtree St NE
Ste A
Atlanta, GA 30309
Phone (404) 874-5676

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

Networks

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

Interoperability endpoints

  • Direct secure messaging: mhallman1285172@direct.hopkinsmedicine.org
  • Direct secure messaging: melissa.hallman@337577483108356.direct.elationemr.com

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": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1366008237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 CENTER BLVD APT 404",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 CENTER BLVD APT 404",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095788",
            "telephone_number": "816-803-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMETEYER",
        "first_name": "MELISSA",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "GA",
            "license": "RN252890",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN252890",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN252890",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN252890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CHILDRESS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.