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MELISSA G PERNICIARO PMHNP-BC
NPI 1942033402
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since August 21, 2024PECOS Enrolled
109 E 115TH ST, NEW YORK, NY 10029(929) 767-0278(929) 299-1491 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa G Perniciaro Pmhnp-bc NPPES

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

MELISSA G PERNICIARO PMHNP-BC (NPI 1942033402) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (2024062528) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942033402
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMELISSA G PERNICIAROCredential: PMHNP-BC
Location Address109 E 115TH STNew York, NY 10029-1186
Mailing Address277 Gold St Apt 4jBrooklyn, NY 11201-3115 · (631) 704-2904 · Fax (929) 299-1491
Phone(929) 767-0278
Fax(929) 299-1491
Sole ProprietorYes
Enumeration DateAugust 21, 2024
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1942033402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 2024062528
109 E 115TH ST, New York, NY 10029
Open in Google Maps ↗

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 G Perniciaro Pmhnp-bc 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 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

DOROTHY JADA RYDER
Psychologist
109 E 115TH ST
NEW YORK, NY 10029
New York County (646) 663-0117
TAYYAB CHOUDHRY
Social Worker (Clinical)
109 E 115TH ST
NEW YORK, NY 10029
New York County (929) 545-4861
LAURA DUBINSKY
Social Worker (Clinical)
109 E 115TH ST
NEW YORK, NY 10029
New York County (212) 660-8150
MS. DYLAN SHAYLA CLAY-DEVLIN
Counselor (Mental Health)
109 E 115TH ST
NEW YORK, NY 10029
New York County (212) 633-9300
BRITTANI MONIQUE BOVELL
Social Worker
109 E 115TH ST
NEW YORK, NY 10029
New York County (917) 485-7280
KATHERINE RODRIGUEZ MS, MHC-LP
Counselor (Mental Health)
109 E 115TH ST
NEW YORK, NY 10029
New York County (347) 306-8537
STEPHANIE MARIE HENDERSON LMSW
Social Worker (Clinical)
109 E 115TH ST
NEW YORK, NY 10029
New York County (212) 633-9300
SHANNON MARKS
Counselor (Mental Health)
109 E 115TH ST
NEW YORK, NY 10029
New York County (212) 633-9300

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 Perniciaro's NPI number?

The NPI number for Melissa Perniciaro is 1942033402. It was assigned to this individual provider in the NPPES registry on August 21, 2024.

Where is Melissa Perniciaro located?

Melissa Perniciaro practices at 109 E 115th St, New York, NY 10029. The listed phone number is (929) 767-0278.

What is Melissa Perniciaro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Melissa Perniciaro enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Melissa Perniciaro was last updated on October 20, 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.