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MELISSA FUNDORA
NPI 1063255016
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL

Active since June 17, 2024PECOS Enrolled
3661 S MIAMI AVE STE 503, MIAMI, FL 33133(786) 955-7054 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2026, May 14, 2026, Jan 16, 2026 and 1 more (4 updates tracked since 2024).

About Melissa Fundora NPPES

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

MELISSA FUNDORA (NPI 1063255016) is an individual psychiatric/mental health provider in Miami, Florida, licensed in Florida (11036683) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063255016
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMELISSA FUNDORA
Location Address3661 S MIAMI AVE STE 503Miami, FL 33133-4200
Mailing Address3661 S Miami Ave Ste 503Miami, FL 33133-4200 · (305) 546-4578
Phone(786) 955-7054
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 17, 2024
Last NPPES UpdateMay 22, 20264 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1063255016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 11036683
Also ListedRegistered NurseTaxonomy 163W00000X · License 9567915 (FL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11036683 (FL)
3661 S MIAMI AVE STE 503, Miami, FL 33133
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Fundora is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870073679
PECOS Enrollment IDI20260218004521
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

LISANDRA HERNANDEZ CRUZ APRN
Nurse Practitioner (Psychiatric/Mental Health)
3661 S MIAMI AVE STE 503
MIAMI, FL 33133
Miami-Dade County (305) 856-1082
AMANDA MARIE RIBEIRO APRN
Nurse Practitioner (Psychiatric/Mental Health)
3661 S MIAMI AVE STE 503
MIAMI, FL 33133
Miami-Dade County (305) 546-4578
MENTAL WELLNESS OF FLORIDA PA
Nurse Practitioner (Psychiatric/Mental Health)
3661 S MIAMI AVE STE 503
MIAMI, FL 33133
Miami-Dade County (305) 856-1082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Fundora's NPI number?

The NPI number for Melissa Fundora is 1063255016. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Melissa Fundora located?

Melissa Fundora practices at 3661 S Miami Ave Ste 503, Miami, FL 33133. The listed phone number is (786) 955-7054.

What is Melissa Fundora's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Melissa Fundora enrolled in Medicare?

Yes. Melissa Fundora is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melissa Fundora was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.