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MELISSA L REYNOLDS FNP
NPI 1164747317
Nurse Practitioner - Primary Care in Fort Drum, NY

Active since March 31, 2010
USA MEDDAC, 11050 MT. BELVEDERE BLVD., FORT DRUM, NY 13602(315) 772-2778(315) 965-3703 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Dec 20, 2021, Nov 16, 2015 (3 updates tracked since 2015).

About Melissa L Reynolds Fnp NPPES

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

MELISSA L REYNOLDS FNP (NPI 1164747317) is an individual primary care provider in Fort Drum, New York, licensed in New York (336340) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1164747317
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMELISSA L REYNOLDSCredential: FNP
Location AddressUSA MEDDAC, 11050 MT. BELVEDERE BLVD.Fort Drum, NY 13602
Mailing Address11050 Mt Belvedere BlvdFort Drum, NY 13602-2603 · (315) 772-2877
Phone(315) 772-2778
Fax(315) 965-3703
Sole ProprietorNo
Enumeration DateMarch 31, 2010
Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1164747317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · 336340
USA MEDDAC, Fort Drum, NY 13602
Open in Google Maps ↗

Other Names 1

Former Name (1)Melissa L Mcconnell

Other Providers at the Same Location NPPES 20

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

BAILEY MOORHEAD BEARDSLEY DMD
Dentist (Oral and Maxillofacial Surgery)
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-8891
MR. JEFFREY MORGAN COX LICSW
Social Worker
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FT DRUM, NY 13602
Jefferson County (315) 921-9000
MR. KENNETH HERBERT THOMAS JR. CASAC, LPC
Counselor (Addiction (Substance Use Disorder))
USA MEDDAC, 11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-8801
PANITA PIPATNAWIN FNP-C
Nurse Practitioner (Family)
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 774-5356
JAMES KIM M.D.
Internal Medicine
USA MEDDAC, 11050 MT. BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2964
DR. BRIDGET MATSAS MD
Emergency Medicine
USA MEDDAC, 11050 MT. BELVEDERE BLVD.
FORT DRUM, NY 13602
Jefferson County (315) 772-0215
JUSTIN DAVID RADO PHYSICIAN ASSISTANT
Physician Assistant
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-6214
ANGELA MATTHEWS LCSW
Social Worker
USA MEDDAC, 11050 MT. BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 774-0770

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 Reynolds's NPI number?

The NPI number for Melissa Reynolds is 1164747317. It was assigned to this individual provider in the NPPES registry on March 31, 2010. The provider is also known as Melissa L Mcconnell.

Where is Melissa Reynolds located?

Melissa Reynolds practices at Usa Meddac 11050 Mt. Belvedere Blvd., Fort Drum, NY 13602. The listed phone number is (315) 772-2778.

What is Melissa Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Melissa Reynolds was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.