Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melissa A Fazzolari, APRN

Individual provider Gerontology Nurse Practitioner · NPI 1477041564

Melissa A Fazzolari, APRN is a Nurse Practitioner in Portland, Connecticut. Qualified in 2018, 8 years ago. Practices with Mhs Primary Care, Inc, a 177-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
8
Licensed in
CT
In the registry since
2018
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

270 Main St Ste A
Portland, CT 06480-1836
Phone: (860) 358-5040
Fax: (860) 358-8658
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 7770 (CT)
Nurse Practitioner Taxonomy 363L00000X · Licence 7770 (CT)

Record details

NPI number1477041564
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 25, 2018
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mhs Primary Care, Inc. — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount