Individual provider Active NPI

Melinda Simmons, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1649816125
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345268 Issued in NY
Practice address
2116 Frederick Douglass Blvd
New York, NY 10026-2332
Phone
(212) 882-1154
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019052381 NY
Family Nurse Practitioner 363LF0000X 345268 NY Primary

Addresses

Primary practice location

2116 Frederick Douglass Blvd
New York, NY 10026-2332

Mailing address

2116 Frederick Douglass Blvd
New York, NY 10026-2332
Phone (212) 882-1154

Other practice location 1

201 Wadsworth Ave Ste 3
New York, NY 10033-3862
Phone (646) 329-6100 ext. 1

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
I20200327000178 NY Practitioner - Nurse Practitioner 9436588415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fresh Meadows Physician Practice PLLCGroup PAC ID 0941657811, 33 clinicians
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians

Practice addresses (Care Compare)

50 Sheffield Ave
Brooklyn, NY 11207-2420
Phone (718) 345-2273

612 Allerton Ave
Bronx, NY 10467-7404
Phone (718) 709-0940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019052381NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ypp New Modern Medicine PLLC CurrentSince Feb 24, 2020 Accepting new patients
Peyman Younesi MD PLLC CurrentSince Oct 1, 2024 Accepting new patients
Fresh Meadows Physician Practice PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

612 Allerton Ave
Bronx, NY 10467
Phone (718) 519-4125

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

201 Wadsworth Ave
Unit 3
New York, NY 10033

201 Wadsworth Ave
Apt GD3
New York, NY 10033
Phone (347) 375-3774

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDCBCA

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1649816125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262332",
            "telephone_number": "212-882-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262332",
            "telephone_number": "212-882-1154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Wadsworth Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100333862",
            "country_code": "US",
            "telephone_number": "646-329-6100 x1",
            "fax_number": "646-329-6310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MELINDA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "2019052381",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.