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MS. MELLISA DEANDRADE
NPI 1811500028
Nurse Practitioner - Pediatrics in Rye Brook, NY

Active since August 26, 2020PECOS Enrolled
113 BOWMAN AVE, RYE BROOK, NY 10573(914) 939-1477 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 20, 2026, Aug 26, 2020 (2 updates tracked since 2020).

About Ms. Mellisa Deandrade NPPES

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

MS. MELLISA DEANDRADE (NPI 1811500028) is an individual pediatrics provider in Rye Brook, New York, licensed in New York (202631228) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811500028
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. MELLISA DEANDRADE
Location Address113 BOWMAN AVERye Brook, NY 10573-2808
Mailing Address179 Drake Ave Apt 2kNew Rochelle, NY 10805-1747
Phone(914) 939-1477
Sole ProprietorYes
Enumeration DateAugust 26, 2020
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1811500028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 202631228
113 BOWMAN AVE, Rye Brook, NY 10573
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mellisa Deandrade 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 10573 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DAMARIS BERRIOS
Social Worker (School)
113 BOWMAN AVE
RYE BROOK, NY 10573
Westchester County (914) 934-8152
DR. VALERIE A HENIGSON PSY.D.
Psychologist (School)
113 BOWMAN AVE
RYE BROOK, NY 10573
Westchester County (914) 934-8062
XIMENA DE LOS RIOS MORALES SLP, TSSLD, BE
Speech-Language Pathologist
113 BOWMAN AVE
PORT CHESTER, NY 10573
Westchester County (914) 934-7900
SUSAN DEPAN RN
Registered Nurse (School)
113 BOWMAN AVE
RYE BROOK, NY 10573
Westchester County (914) 934-7942
EMMA MARIE CRUZ
Speech-Language Pathologist
113 BOWMAN AVE
RYE BROOK, NY 10573
Westchester County (914) 934-7930
MRS. CARMEN IRIS ROSARIO-PARKER LCSW
Social Worker
113 BOWMAN AVE
RYE BROOK, NY 10573
Westchester County (914) 934-8019
MS. MARGARET MUCCIA OTR
Specialist
113 BOWMAN AVE
RYE BROOK, NY 10573
Westchester County (914) 934-7925

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 Mellisa Deandrade's NPI number?

The NPI number for Mellisa Deandrade is 1811500028. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Mellisa Deandrade located?

Mellisa Deandrade practices at 113 Bowman Ave, Rye Brook, NY 10573. The listed phone number is (914) 939-1477.

What is Mellisa Deandrade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Mellisa Deandrade enrolled in Medicare?

Yes. Mellisa Deandrade is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mellisa Deandrade was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.