MELISSA A FAZZOLARI APRN
NPI 1477041564
Nurse Practitioner - Gerontology in Portland, CT
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
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Melissa Fazzolari reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- 147 clinicians in this Medicare group
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 417 clinicians in this Medicare group
Farmington, CT 06032
- Reassigned Medicare billing, Connecticut enrollment
- 496 clinicians in this Medicare group
New Haven, CT 06511
- Reassigned Medicare billing, Connecticut enrollment
- 149 clinicians in this Medicare group
New Haven, CT 06510
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Northeast Medical Group Inc
- 1,824 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
PORTLAND, CT 06480
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.
Which organizations bill Medicare for Melissa Fazzolari's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Fazzolari reassigns Medicare benefits to 5 organizations: Mhs Primary Care, Inc (Middletown, CT), Connecticut Gi PLLC (Hartford, CT), Prohealth Physicians PC (Farmington, CT), Yale University (New Haven, CT) and Mill Hill Medical Consultants Inc (New Haven, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Fazzolari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melissa Fazzolari accept?
Health plans from Anthem Blue Cross and Blue Shield list Melissa Fazzolari as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 8 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.
# Melissa A Fazzolari, APRN · NPI 1477041564
Gerontology physician in Portland, Connecticut. Individual provider, active in the CMS NPPES registry since April 25, 2018.
## Identity
- **NPI:** 1477041564 (Entity type: Individual)
- **Enumerated:** April 25, 2018
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 7770 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 270 MAIN ST STE A, Portland, CT 06480-1836
- **Phone:** (860) 358-5040 · **Fax:** (860) 358-8658
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mhs Primary Care, Inc (NPI 1336279058, Middletown, CT); Connecticut Gi PLLC (NPI 1023124625, Hartford, CT); Prohealth Physicians PC (NPI 1720194053, Farmington, CT); Yale University (NPI 1093862740, New Haven, CT); Mill Hill Medical Consultants Inc (NPI 1952624769, New Haven, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 5, 2026
- **Other identifiers:** Medicaid 008082360 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1477041564) · Data from the CMS NPPES public registry.