VALESSA MESIDOR NPI 1972276285

NPI Information

  • NPI: 1972276285
  • Provider Name: VALESSA MESIDOR
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 WANTAGH AVE
    WANTAGH, NY
    ZIP 11793
  • Phone: (516) 308-7405

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NPI Details

Valessa Mesidor is a family nurse practitioner in Wantagh, NY with 4 years of experience. Valessa Mesidor NPI is 1972276285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1400 WANTAGH AVE
WANTAGH, NY
ZIP 11793-257
Phone: (516) 308-7405
Fax: (516) 308-7404

The NPI 1972276285 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)

The enumeration date for this NPI number is 8/1/2021 and was last updated on 7/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care347927-01NEW YORKNo
2363LF0000XNurse PractitionerFamily347927-01NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1347927OTHERNEW YORKSTATE LICENSE
206885978MEDICAIDNEW YORK
3A400330312OTHERNEW YORKMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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