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MS. MELISSA FACKLER MSN, RN, CCRN FNP
NPI 1215470257
Nurse Practitioner - Family in Manhasset, NY

Active since November 23, 2016PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1350 NORTHERN BLVD STE 202, MANHASSET, NY 11030(516) 482-3401 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 29, 2019, Jul 12, 2019, May 22, 2018 and 1 more (4 updates tracked since 2016).

About Ms. Melissa Fackler Msn, Rn, Ccrn Fnp NPPES

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

MS. MELISSA FACKLER MSN, RN, CCRN FNP (NPI 1215470257) is an individual family provider in Manhasset, New York, licensed in New York (687779-1) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and maintains a secondary practice location in Manhasset.

NPPES Registry Identity

NPI1215470257
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MELISSA FACKLERCredential: MSN, RN, CCRN FNP
Location Address1350 NORTHERN BLVD STE 202Manhasset, NY 11030
Mailing Address1350 Northern Blvd Ste 202Manhasset, NY 11030-3013 · (516) 482-3401
Phone(516) 482-3401
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 23, 2016
Last NPPES UpdateOctober 29, 20194 updates tracked since enumeration
✔ NPI 1215470257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 687779-1
Also ListedRegistered NurseTaxonomy 163W00000X · License 687779-1 (NY)
1350 NORTHERN BLVD STE 202, Manhasset, NY 11030
Open in Google Maps ↗

Secondary Practice Location 1

Location 11350 Northern Blvd Ste 202Manhasset, NY 11030 · Phone (516) 482-3401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Melissa Fackler Msn, Rn, Ccrn Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921431370
PECOS Enrollment IDI20191126000622
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
774 services417 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
38 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services28 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
17 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES

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

JULIE C. AHN FNP-BC
Nurse Practitioner (Family)
1350 NORTHERN BLVD STE 202
MANHASSET, NY 11030
Nassau County (516) 365-5357

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 Fackler's NPI number?

The NPI number for Melissa Fackler is 1215470257. It was assigned to this individual provider in the NPPES registry on November 23, 2016.

Where is Melissa Fackler located?

Melissa Fackler practices at 1350 Northern Blvd Ste 202, Manhasset, NY 11030. The listed phone number is (516) 482-3401.

What is Melissa Fackler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melissa Fackler enrolled in Medicare?

Yes. Melissa Fackler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Melissa Fackler affiliated with any hospitals?

According to CMS data, Melissa Fackler is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Melissa Fackler was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.