MRS. MELISSA D'AMATO PA-C
NPI 1023083292
Physician Assistant - Medical in Enfield, CT

Active since February 21, 2006PECOS Enrolled
140 HAZARD AVE STE 105, ENFIELD, CT 06082(860) 714-9733(860) 714-8136 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 19, 2023, Nov 14, 2022, Nov 7, 2022 and 1 more (4 updates tracked since 2020).

About Mrs. Melissa D'amato Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MELISSA D'AMATO PA-C (NPI 1023083292) is an individual medical provider in Enfield, Connecticut, licensed in Connecticut (4904) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023083292
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. MELISSA D'AMATOCredential: PA-C
Location Address140 HAZARD AVE STE 105Enfield, CT 06082-5424
Mailing Address140 Hazard Ave Ste 105Enfield, CT 06082-5424 · (860) 714-9733
Fax(860) 714-8136
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateAugust 2, 20234 updates tracked since enumeration
NPPES CertifiedAugust 2, 2023
NPI 1023083292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in CT · 4904 Licensed in FL · PA9104557
Also ListedPhysician AssistantTaxonomy 363A00000X · License 010711-1 (NY), 004904 (CT)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 4904 (CT)
140 HAZARD AVE STE 105, Enfield, CT 06082

Other Names 1

Former Name (1)Mrs. Melissa Cornes Pa-c

Other Identifiers 3

Medicaid000728800FL
Medicaid685778036AFL
OtherRAILROAD MEDICAREGA · P00727972

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Melissa D'amato Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
140 HAZARD AVE STE 105
ENFIELD, CT 06082
Family Medicine
140 HAZARD AVE STE 105
ENFIELD, CT 06082

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023083292, enumerated as an "individual" on February 21, 2006.

The provider is located at 140 HAZARD AVE STE 105 ENFIELD, CT 06082 and the phone number is (860) 714-9733.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.