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MELISSA TULLY NP
NPI 1710499017
Nurse Practitioner - Adult Health in Ringwood, NJ

Active since October 26, 2017PECOS Enrolled
60 SKYLINE DR, RINGWOOD, NJ 07456(973) 962-4000 Get Directions Write a Review

NPPES record last updated: October 26, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Melissa Tully Np NPPES

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

MELISSA TULLY NP (NPI 1710499017) is an individual adult health provider in Ringwood, New Jersey, licensed in New Jersey (26NJ00755400) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710499017
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMELISSA TULLYCredential: NP
Location Address60 SKYLINE DRRingwood, NJ 07456-2039
Mailing Address11 Bean CtWanaque, NJ 07465-1001 · (973) 207-8426
Phone(973) 962-4000
Sole ProprietorYes
Enumeration DateOctober 26, 2017
✔ NPI 1710499017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00755400
60 SKYLINE DR, Ringwood, NJ 07456
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Tully Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Tully reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Matrix Medical Plus
757 mi
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, North Carolina enrollment
  • 27 clinicians in this Medicare group
NPI 1376973461 (877) 564-3627

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 07456 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

DR. MEDHAT RAOUF M.D.
Internal Medicine
60 SKYLINE DR
RINGWOOD, NJ 07456
Passaic County (973) 962-4000
MOHAMAD SOULEIMAN KHALIL APN
Nurse Practitioner
60 SKYLINE DR
RINGWOOD, NJ 07456
Passaic County (973) 962-4068
MEDHAT RAOUF, M.D., P.A.
Internal Medicine
60 SKYLINE DR
RINGWOOD, NJ 07456
Passaic County (973) 962-4000

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 Tully's NPI number?

The NPI number for Melissa Tully is 1710499017. It was assigned to this individual provider in the NPPES registry on October 26, 2017.

Where is Melissa Tully located?

Melissa Tully practices at 60 Skyline Dr, Ringwood, NJ 07456. The listed phone number is (973) 962-4000.

What is Melissa Tully's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Melissa Tully enrolled in Medicare?

Yes. Melissa Tully is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Tully's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Tully reassigns Medicare benefits to Matrix Medical Plus (Nashville, TN). The 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 Tully's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Tully was last updated on October 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.