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VALESSA MESIDOR
NPI 1972276285
Nurse Practitioner - Family in Wantagh, NY

Active since August 01, 2021PECOS EnrolledAccepts Medicare Assignment
1400 WANTAGH AVE, WANTAGH, NY 11793(516) 308-7405(516) 308-7404 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2024, Dec 7, 2021 (2 updates tracked since 2021).

About Valessa Mesidor NPPES

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

VALESSA MESIDOR (NPI 1972276285) is an individual family provider in Wantagh, New York, licensed in New York (347927-01) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1972276285
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVALESSA MESIDOR
Location Address1400 WANTAGH AVEWantagh, NY 11793-2257
Mailing Address32 Columbia StFarmingdale, NY 11735-2606 · (516) 921-5910
Phone(516) 308-7405
Fax(516) 308-7404
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 1, 2021
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1972276285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 347927-01
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 347927-01 (NY)
1400 WANTAGH AVE, Wantagh, NY 11793
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Other Identifiers 3

Other347927NY · State License
Medicaid06885978NY
OtherA400330312NY · Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Valessa Mesidor is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284027079
PECOS Enrollment IDI20220129000222
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 11793 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 12

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

MS. ELIZABETH A. CORBIN MS, LMHC, NCC
Counselor (Mental Health)
1400 WANTAGH AVE, SUITE 201
WANTAGH, NY 11793
Nassau County (516) 557-5947
MS. LAURA KRANENBERG LCSW
Social Worker
1400 WANTAGH AVE, SUITE 201
WANTAGH, NY 11793
Nassau County (516) 319-7896
NOVA FAMILY HEALTH NP, PC
Nurse Practitioner (Family)
1400 WANTAGH AVE
WANTAGH, NY 11793
Nassau County (516) 308-7405
GRETCHEN E KRETKOWSKI-RIEGER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1400 WANTAGH AVE
WANTAGH, NY 11793
Nassau County (631) 321-7011
MS. SHARON L. PETITO L.AC., LMT
Acupuncturist
1400 WANTAGH AVE, SUITE 202
WANTAGH, NY 11793
Nassau County (516) 695-1633
SHANTHI VENKATACHALAM PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1400 WANTAGH AVE
WANTAGH, NY 11793
Nassau County (631) 327-4868
MESIDOR CONSULTING SERVICES LLC
Nurse Practitioner (Adult Health)
1400 WANTAGH AVE
WANTAGH, NY 11793
Nassau County (551) 275-5674
GERALD J BERGMAN DPM PC
Podiatrist
1400 WANTAGH AVE, SUITE 202
WANTAGH, NY 11793
Nassau County (516) 781-1943

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 Valessa Mesidor's NPI number?

The NPI number for Valessa Mesidor is 1972276285. It was assigned to this individual provider in the NPPES registry on August 1, 2021.

Where is Valessa Mesidor located?

Valessa Mesidor practices at 1400 Wantagh Ave, Wantagh, NY 11793. The listed phone number is (516) 308-7405.

What is Valessa Mesidor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Valessa Mesidor enrolled in Medicare?

Yes. Valessa Mesidor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Valessa Mesidor was last updated on July 2, 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.