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

Melissa Cardona

Individual provider Acute Care Nurse Practitioner · NPI 1699339721

Melissa Cardona is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2018, 8 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
8
Licensed in
RI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

164 Summit Ave Fl 2
Providence, RI 02906-2853
Phone: (401) 793-4636
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 APRN02040 (RI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 02040 (RI)

Record details

NPI number1699339721
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 24, 2019
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing address164 Summit Ave Fl 2, Providence, RI 02906-2853

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 Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence