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

Melissa Black, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1831068782

Melissa Black, AGACNP-BC is a Nurse Practitioner in New Hyde Park, New York. Qualified in 2025, 1 year ago. Practices with North Shore Health System Medical Faculty Group Practice Inc, a 158-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025

Practice location Address checks out

450 Lakeville Rd
New Hyde Park, NY 11042-1118
Phone: (516) 672-5836
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence F433417-01 (NY)

Record details

NPI number1831068782
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedOctober 30, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice North Shore Health System Medical Faculty Group Practice Inc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Hyde Park