MELISSA DIANE MATTIMORE I RN, ACNP
NPI 1710140793
Nurse Practitioner - Acute Care in New York, NY
About Melissa Diane Mattimore I Rn, Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA DIANE MATTIMORE I RN, ACNP (NPI 1710140793) is an individual acute care provider in New York, New York, licensed in New York (F430405-1) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
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 Diane Mattimore I Rn, Acnp 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10029 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10029
NEW YORK, NY 10029
NEW YORK, NY 10029
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 Mattimore's NPI number?
The NPI number for Melissa Mattimore is 1710140793. It was assigned to this individual provider in the NPPES registry on July 9, 2008.
Where is Melissa Mattimore located?
Melissa Mattimore practices at 1190 5th Ave Box 1458, New York, NY 10029. The listed phone number is (917) 538-2769.
What is Melissa Mattimore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Melissa Mattimore enrolled in Medicare?
Yes. Melissa Mattimore 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 Mattimore was last updated on January 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Melissa Diane Mattimore I, RN, ACNP · NPI 1710140793
Acute Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 9, 2008.
## Identity
- **NPI:** 1710140793 (Entity type: Individual)
- **Enumerated:** July 9, 2008
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** F430405-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1190 5TH AVE, BOX 1458, New York, NY 10029-6503
- **Phone:** (917) 538-2769
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** January 14, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1710140793) · Data from the CMS NPPES public registry.