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MELISSA A FAZZOLARI APRN
NPI 1477041564
Nurse Practitioner - Gerontology in Portland, CT

Active since April 25, 2018PECOS EnrolledAccepts Medicare Assignment
270 MAIN ST STE A, PORTLAND, CT 06480(860) 358-5040(860) 358-8658 Get Directions Write a Review

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

Record update history: Feb 5, 2026, Aug 30, 2019, Sep 19, 2018 and 1 more (4 updates tracked since 2018).

About Melissa A Fazzolari Aprn NPPES

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

MELISSA A FAZZOLARI APRN (NPI 1477041564) is an individual gerontology provider in Portland, Connecticut, licensed in Connecticut (7770) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477041564
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMELISSA A FAZZOLARICredential: APRN
Location Address270 MAIN ST STE APortland, CT 06480-1836
Mailing Address28 Crescent StMiddletown, CT 06457-3654 · (860) 358-4870 · Fax (860) 358-8661
Phone(860) 358-5040
Fax(860) 358-8658
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 25, 2018
Last NPPES UpdateFebruary 5, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1477041564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CT · 7770
Also ListedNurse PractitionerTaxonomy 363L00000X · License 7770 (CT)
270 MAIN ST STE A, Portland, CT 06480
Open in Google Maps ↗

Other Identifiers 1

Medicaid008082360CT

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

Melissa A Fazzolari Aprn 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 ID6901157155
PECOS Enrollment IDI20180926003765
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 06480 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

MRS. KELSEY EJZAK CAULFIELD PA
Physician Assistant (Medical)
270 MAIN ST STE A
PORTLAND, CT 06480
Lower Connecticut River Valley Planning Region (860) 358-5040
MORGAN BRYANT FESHLER
Nurse Practitioner (Family)
270 MAIN ST STE A
PORTLAND, CT 06480
Lower Connecticut River Valley Planning Region (860) 358-5040
MISS GABRIELLE ELIZABETH SCHIAVONE APRN
Nurse Practitioner (Family)
270 MAIN ST STE A
PORTLAND, CT 06480
Lower Connecticut River Valley Planning Region (860) 358-5040

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 Fazzolari's NPI number?

The NPI number for Melissa Fazzolari is 1477041564. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Where is Melissa Fazzolari located?

Melissa Fazzolari practices at 270 Main St Ste A, Portland, CT 06480. The listed phone number is (860) 358-5040.

What is Melissa Fazzolari's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Melissa Fazzolari enrolled in Medicare?

Yes. Melissa Fazzolari 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.

When was this NPI record last updated?

The NPPES record for Melissa Fazzolari was last updated on February 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.