Individual provider Active NPI

Melissa Marie Haydt, FNP-BC

  • Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1699462663
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F351736-01 Issued in NY
Practice address
241 North Rd
Poughkeepsie, NY 12601-1154
Phone
(845) 483-5000
NPI assigned
Apr 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X F351736-01 NY
Nurse Practitioner 363L00000X F351736-01 NY Primary

Addresses

Primary practice location

241 North Rd
Poughkeepsie, NY 12601-1154

Mailing address

76 Prospect St
Beacon, NY 12508-4235
Phone (845) 206-3979

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
I20230525002135 NY Practitioner - Nurse Practitioner 8224494778 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F351736-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Associates New York PC Emergency Medicine Current Accepting new patients
Ashraf Medical Group PLLC CurrentSince Nov 16, 2023 Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1862 Pleasantville Rd
Briarcliff Manor, NY 10510
Phone (845) 204-9500

999 Route 6
Mahopac, NY 10541
Phone (845) 628-8700

3144 E Main St
Ste 2C
Mohegan Lake, NY 10547

26 Winslow Gate Rd
Bldg C2
Poughkeepsie, NY 12601

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

696 Dutchess Tpke
Poughkeepsie, NY 12603
Phone (845) 454-8200

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

900 Route 376
Ste H
Wappingers Fl, NY 12590
Phone (845) 204-9500

Interoperability endpoints

  • Direct secure messaging: mhaydt@pulse-mdurgentcare.medentdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1699462663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 PROSPECT ST",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125084235",
            "telephone_number": "845-206-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 NORTH RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011154",
            "telephone_number": "845-483-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDT",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "F351736-01",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F351736-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.