Individual provider Active NPI

Melissa Erin Skiadas, FNP

  • Family Nurse Practitioner
  • Endwell, NY
National Provider Identifier
1528290061
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335983 Issued in NY
Practice address
800 Hooper Rd
Endwell, NY 13760-1560
Phone
(607) 757-0444
Fax
(607) 748-8984
NPI assigned
Aug 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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 335983 NY Primary

Addresses

Primary practice location

800 Hooper Rd
Endwell, NY 13760-1560

Mailing address

346 Grand Ave
Johnson City, NY 13790-2580
Phone (607) 729-8156

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
I20091028000485 NY Practitioner - Nurse Practitioner 4981741618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

161 Riverside Dr
Suite 306
Binghamton, NY 13905-4197
Phone (607) 798-6700

Hospital & facility affiliations

  • Lourdes at Home Chha Home health agency, Vestal, NY, CCN 337415
  • Twin Tier Home Health, Inc Home health agency, Johnson City, NY, CCN 337181
  • Our Lady of Lourdes Memorial Hospital, Inc Hospital, Binghamton, NY, CCN 330011
  • United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
86.74
Promoting interoperability
99
Improvement activities
40
Cost
70.09

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Apr 21, 2025 Accepting new patients
United Medical Associates, P.C. CurrentSince Sep 14, 2009 Accepting new patients
United Medical Associates PC CurrentSince Sep 14, 2009 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Apr 21, 2025 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. Current Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

161 Riverside Dr
Ste 306
Binghamton, NY 13905
Phone (607) 798-6700

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

346 Grand Ave
Johnson City, NY 13790
Phone (607) 729-8156

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

Interoperability endpoints

  • Direct secure messaging: mskiadas223360@direct-guthrie.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1528290061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 GRAND AVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902580",
            "telephone_number": "607-729-8156",
            "fax_number": "607-729-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOOPER RD",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137601560",
            "telephone_number": "607-757-0444",
            "fax_number": "607-748-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIADAS",
        "first_name": "MELISSA",
        "middle_name": "ERIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endwell, NY

Sources for this page

Verify at the official NPI Registry.