Individual provider Active NPI

Melissa Schneider, FNP-C

  • Family Nurse Practitioner
  • New Britain, CT
National Provider Identifier
1992370241
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12753 Issued in CT
Practice address
179 Columbus Blvd
New Britain, CT 06051-2264
Phone
(860) 356-2557
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 202104629NP-PP OR
Family Nurse Practitioner 363LF0000X 12753 CT Primary

Addresses

Primary practice location

179 Columbus Blvd
New Britain, CT 06051-2264

Mailing address

PO Box 745254
Atlanta, GA 30374-5254
Phone (312) 929-0373

Other practice location 1

63187 Black Powder Ln
Bend, OR 97701-7310
Phone (760) 679-6270

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014004799 CT Practitioner - Nurse Practitioner 1456750009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Physician Group PLLCGroup PAC ID 7810428166, 10 clinicians

Practice addresses (Care Compare)

179 Columbus Blvd
New Britain, CT 06051-2264
Phone (860) 356-2557

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12753CTMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Onepeak Southern Oregon PC CurrentSince Jan 1, 2023 Accepting new patients
Nova Physician Group PLLC CurrentSince Oct 7, 2024 Accepting new patients
Cultivate Health, PLLC Family Current Accepting new patients

Locations

179 Columbus Blvd
New Britain, CT 06051
Phone (860) 356-2557

158 Amity Rd
Ste 280
New Haven, CT 06515

2000 N Main St
#A
Waterbury, CT 06704
Phone (203) 951-8306

1325 NE 7th St
Grants Pass, OR 97526
Phone (541) 460-5331

3265 Hillcrest Park Dr
Medford, OR 97504
Phone (541) 275-6655

Interoperability endpoints

  • Direct secure messaging: melissa.schneider.1@30297.direct.athenahealth.com

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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1992370241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745254",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745254",
            "telephone_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 COLUMBUS BLVD",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512264",
            "telephone_number": "860-356-2557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63187 Black Powder Ln",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977017310",
            "country_code": "US",
            "telephone_number": "760-679-6270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "MELISSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202104629NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.