Individual provider Active NPI

Melissa W Moreno I, FNP

  • Family Nurse Practitioner
  • Congers, NY
National Provider Identifier
1528082187
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344757-1 Issued in NY
Practice address
25 Hemlock Dr
Congers, NY 10920-1401
Phone
(845) 267-0110
Fax
(845) 267-2634
NPI assigned
Jul 27, 2006
Last updated
Feb 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F344757-1 NY Primary

Addresses

Primary practice location

25 Hemlock Dr
Congers, NY 10920-1401

Mailing address

80 Sunset Rd
Blauvelt, NY 10913-1332
Phone (914) 262-6216

Other names 1

  • Melissa M Wentland 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
I20060921000635 NY Practitioner - Nurse Practitioner 9335144559 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F344757-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince May 3, 2021 Accepting new patients
Weill Medical College of Cornell CurrentSince May 3, 2021 Accepting new patients
United Hospice Inc. CurrentSince Jul 1, 2023 Accepting new patients
Arc Healthresources of Rockland, Inc. PastSince Jul 17, 2022 Accepting new patients

Locations

11 Stokum Ln
New City, NY 10956
Phone (845) 634-4974

156 William St
New York, NY 10038
Phone (646) 962-4679

425 E 61st St
Fl 12
New York, NY 10065
Phone (646) 962-2399

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234742400000",
    "number": "1528082187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SUNSET RD",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131332",
            "telephone_number": "914-262-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HEMLOCK DR",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201401",
            "telephone_number": "845-267-0110",
            "fax_number": "845-267-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "MELISSA",
        "middle_name": "W",
        "name_suffix": "I",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344757-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WENTLAND",
            "middle_name": "M",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Congers, NY

Sources for this page

Verify at the official NPI Registry.