MISS MELISSA R DEZAN MS, FNP-BC
NPI 1346609773
Nurse Practitioner - Family in Queens Village, NY

Active since February 13, 2016PECOS EnrolledAccepts Medicare Assignment
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427(718) 464-7500 Get Directions Write a Review

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

Record update history: Apr 2, 2026, Jan 21, 2023, Mar 17, 2018 and 1 more (4 updates tracked since 2016).

About Miss Melissa R Dezan Ms, Fnp-bc NPPES

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

MISS MELISSA R DEZAN MS, FNP-BC (NPI 1346609773) is an individual family provider in Queens Village, New York, licensed in New York (350891) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1346609773
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS MELISSA R DEZANCredential: MS, FNP-BC
Location Address7925 WINCHESTER BLVDQueens Village, NY 11427-2128
Mailing Address7925 Winchester BlvdQueens Village, NY 11427-2128
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 13, 2016
Last NPPES UpdateApril 2, 20264 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
NPI 1346609773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 350891
Also ListedRegistered NurseTaxonomy 163W00000X · License 726454 (NY)
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 3209241 (NY)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 407997 (NY)
7925 WINCHESTER BLVD, Queens Village, NY 11427

Other Names 1

Professional Name (2)Ms. Melissa R Dezan Msn, Fnp-bc

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

Miss Melissa R Dezan Ms, Fnp-bc 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 ID5991142549
PECOS Enrollment IDI20240319002493
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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11427 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 20

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

Social Worker (Clinical)
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Psychiatric Hospital
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Psychiatry & Neurology (Psychiatry)
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Psychiatry & Neurology (Psychiatry)
7925 WINCHESTER BLVD, ATTN: DEPARTMENT OF PSYCHIATRY ACT TEAM
QUEENS VILLAGE, NY 11427
Pharmacist (Psychiatric)
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Pharmacist (Psychiatric)
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Pharmacist
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Pharmacist (Psychiatric)
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346609773, enumerated as an "individual" on February 13, 2016.

The provider is located at 7925 WINCHESTER BLVD QUEENS VILLAGE, NY 11427 and the phone number is (718) 464-7500.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Melissa Dezan is affiliated with: LONG ISLAND COMMUNITY HOSPITAL.