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

Melissa A. Patillo, AGPCNP

Individual provider Registered Nurse · NPI 1376098574

Melissa A. Patillo, AGPCNP is a Nurse Practitioner in Norfolk, Virginia. Qualified in 2016, 10 years ago. Practices with St Mary's Healthcare, a 117-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
10
Licensed in
VA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

825 Fairfax Ave Ste 201
Norfolk, VA 23507-1914
Phone: (757) 446-7040
Fax: (757) 446-7049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 0024174616 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001208112 (VA)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence 0015001015 (VA)

Record details

NPI number1376098574
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedAugust 18, 2016
Last updated in NPPESNovember 9, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St. Mary'S Healthcare — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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