MELISSA MARIE WATSON
NPI 1881191369
Nurse Practitioner - Family in Staten Island, NY
About Melissa Marie Watson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA MARIE WATSON (NPI 1881191369) is an individual family provider in Staten Island, New York, licensed in New York (342839) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Melissa Marie Watson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Melissa Watson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
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 10314 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10314
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 Watson's NPI number?
The NPI number for Melissa Watson is 1881191369. It was assigned to this individual provider in the NPPES registry on April 10, 2018.
Where is Melissa Watson located?
Melissa Watson practices at 2960 Victory Blvd, Staten Island, NY 10314. The listed phone number is (718) 370-2014.
What is Melissa Watson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Melissa Watson enrolled in Medicare?
Yes. Melissa Watson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Melissa Watson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Watson reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). 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 Watson'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 Watson was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 Marie Watson · NPI 1881191369
Family physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since April 10, 2018.
## Identity
- **NPI:** 1881191369 (Entity type: Individual)
- **Enumerated:** April 10, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 342839 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2960 VICTORY BLVD, Staten Island, NY 10314-6605
- **Phone:** (718) 370-2014
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1881191369) · Data from the CMS NPPES public registry.