MELISSA JANE PETTY NP
NPI 1790748168
Nurse Practitioner - Neonatal in Los Alamos, NM

Active since April 07, 2006PECOS Enrolled
3917 WEST RD, LOS ALAMOS, NM 87544(505) 661-9230 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2024, Jul 11, 2023, Sep 14, 2022 (3 updates tracked since 2022).

About Melissa Jane Petty Np NPPES

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

MELISSA JANE PETTY NP (NPI 1790748168) is an individual neonatal provider in Los Alamos, New Mexico, licensed in New Mexico (CNP-03454) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790748168
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameMELISSA JANE PETTYCredential: NP
Location Address3917 WEST RDLos Alamos, NM 87544-2275
Mailing Address7029 Camino RojoSanta Fe, NM 87507-3533 · (254) 760-3832
Sole ProprietorNo
Enumeration DateApril 7, 2006
Last NPPES UpdateJanuary 5, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
NPI 1790748168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License Licensed in NM · CNP-03454
3917 WEST RD, Los Alamos, NM 87544

Other Identifiers 3

Other500008494TX · Rr/medicare
Medicaid0292880-02TX
Other82N617TX · Blue Shield

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Melissa Jane Petty 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87544 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
3917 WEST RD, STE 200
LOS ALAMOS, NM 87544
Dermatology
3917 WEST RD, SUITE 150
LOS ALAMOS, NM 87544
Emergency Medicine (Emergency Medical Services)
3917 WEST RD
LOS ALAMOS, NM 87544
Surgery
3917 WEST RD, SUITE #125
LOS ALAMOS, NM 87544
Internal Medicine (Cardiovascular Disease)
3917 WEST RD, SUITE A
LOS ALAMOS, NM 87544
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3917 WEST RD, STE G-02
LOS ALAMOS, NM 87544
Internal Medicine
3917 WEST RD, SUITE A
LOS ALAMOS, NM 87544
Internal Medicine (Cardiovascular Disease)
3917 WEST RD, SUITE A
LOS ALAMOS, NM 87544

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 Petty's NPI number?

The NPI number for Melissa Petty is 1790748168. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Melissa Petty located?

Melissa Petty practices at 3917 West Rd, Los Alamos, NM 87544. The listed phone number is (505) 661-9230.

What is Melissa Petty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Melissa Petty enrolled in Medicare?

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

What insurance does Melissa Petty accept?

Health plans from Blue Cross and Blue Shield of Texas list Melissa Petty 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 Petty was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.