Active NPI
Melissa A. Perez, APRN
- Family Nurse Practitioner
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6137
- Practice address
- 789 Howard Ave
New Haven, CT 06519-1300 - Phone
- (203) 688-5555
- NPI assigned
- Aug 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6137 | CT | Primary |
Addresses
Primary practice location
789 Howard Ave
New Haven, CT 06519-1300
Mailing address
400 Columbus Avenue
Credentialing Specialist
New Haven, CT 06519-1233
Phone (203) 503-3174
Other practice location 1
330 Washington St
Suite 510
Norwich, CT 06360-2700
Phone (860) 885-1308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
428 Columbus Ave
New Haven, CT 06519-1233
Phone (203) 503-3228
Hospital & facility affiliations
- Elara Caring
- Yale-New Haven Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Family | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Cornell Scott Hill Health Corporation | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Cornell Scott Hill Health Corporation | Past | Accepting new patients |
Locations
3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200
428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228
150 Sargent Dr
New Haven, CT 06511
Phone (203) 781-4100
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
400 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3174
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
150 Sargent Dr
Ste 2200
New Haven, CT 06511
789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
Interoperability endpoints
- mperez440423@direct.ynhh.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- New Haven, CT
- NPI 1902921380
-
- Family Medicine Physician
- Farmington, CT
- NPI 1720194053
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Multi-Specialty Clinic/Center
- New Haven, CT
- NPI 1962477968
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rocky Hill, CT
- NPI 1255333597
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1679959530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 COLUMBUS AVENUE",
"address_2": "CREDENTIALING SPECIALIST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191233",
"telephone_number": "203-503-3174",
"fax_number": "203-503-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 HOWARD AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191300",
"telephone_number": "203-688-5555"
}
],
"practiceLocations": [
{
"address_1": "330 Washington St",
"address_2": "Suite 510",
"address_purpose": "LOCATION",
"city": "Norwich",
"state": "CT",
"postal_code": "063602700",
"country_code": "US",
"telephone_number": "860-885-1308",
"fax_number": "860-889-1982",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "MELISSA",
"middle_name": "A.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-03",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "6137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.