MELISSA BLACK AGACNP-BC
NPI 1831068782
Nurse Practitioner - Acute Care in New Hyde Park, NY

Q: What is Melissa Black's NPI number?

The NPI number for Melissa Black is 1831068782. It was assigned to this individual provider in the NPPES registry on October 30, 2025.

Q: What is Melissa Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Black was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 30, 2025PECOS Enrolled

450 LAKEVILLE RD, NEW HYDE PARK, NY 11042(516) 672-5836 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Melissa Black Agacnp-bc NPPES

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

MELISSA BLACK AGACNP-BC (NPI 1831068782) is an individual acute care provider in New Hyde Park, New York, licensed in New York (F433417-01) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1831068782

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMELISSA BLACKCredential: AGACNP-BC

Location Address450 LAKEVILLE RDNew Hyde Park, NY 11042-1118

Mailing Address450 Lakeville RdNew Hyde Park, NY 11042-1118

Phone(516) 672-5836

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 30, 2025

NPPES CertifiedOctober 30, 2025

✔ NPI 1831068782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in NY · F433417-01

450 LAKEVILLE RD, New Hyde Park, NY 11042

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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)

Melissa Black Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204303522

PECOS Enrollment IDI20260427002674

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 11042 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.

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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.

JENNIFER HERNANDEZ PA-C

Physician Assistant

450 LAKEVILLE RD
NEW HYDE PARK, NY 11042

Nassau County (516) 734-8876

NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC

Internal Medicine (Hematology & Oncology)

450 LAKEVILLE RD
NEW HYDE PARK, NY 11042

Nassau County (516) 734-8900

PETER MAGRI JR. NP

Nurse Practitioner (Family)

450 LAKEVILLE RD
NEW HYDE PARK, NY 11042

Nassau County (516) 734-7443

SARA S KIM PHARM D, BCOP

Pharmacist

450 LAKEVILLE RD
LAKE SUCCESS, NY 11042

Nassau County (516) 734-3560

EMILY R VESELY

Nurse Practitioner

450 LAKEVILLE RD
NEW HYDE PARK, NY 11042

Nassau County (516) 734-8963

MRS. TAMMI HASSELL BLOT FNP

Nurse Practitioner (Family)

450 LAKEVILLE RD, PRE SURGICAL TESTING
NEW HYDE PARK, NY 11042

Nassau County (516) 734-8006

SHANESE SHARMA NP

Nurse Practitioner (Adult Health)

450 LAKEVILLE RD
NEW HYDE PARK, NY 11042

Nassau County (516) 941-9454

EVA MONICA MCLOUGHLIN

Nurse Practitioner

450 LAKEVILLE RD
NEW HYDE PARK, NY 11042

Nassau County (917) 225-8175

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 Black's NPI number?

The NPI number for Melissa Black is 1831068782. It was assigned to this individual provider in the NPPES registry on October 30, 2025.

Where is Melissa Black located?

Melissa Black practices at 450 Lakeville Rd, New Hyde Park, NY 11042. The listed phone number is (516) 672-5836.

What is Melissa Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Melissa Black enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Melissa Black was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.