Melissa Emily Hake, NP

Individual provider Active NPI Family Nurse Practitioner · Springville, NY

NPI 1376929182 · NPPES record last updated Apr 24, 2018

Key facts

NPI
1376929182
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
F339913 (NY)
Practice address
25 E Main St
Springville, NY 14141-1244
Phone
(716) 592-2832
Fax
(716) 592-4452
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F339913NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springville Pediatrics, LLP Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mhake@springvillepeds.medentdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F339913 NY Yes

Addresses

Primary practice location

25 E Main St
Springville, NY 14141-1244

Mailing address

25 E Main St
Springville, NY 14141-1244
Phone (716) 592-2832

Other providers in Springville, NY

All providers in Springville, NY · Family Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.