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

Melissa Stark, RN, BSN, FNP-C

Individual provider Registered Nurse · NPI 1417227299

Melissa Stark, RN, BSN, FNP-C is a Nurse Practitioner in Owego, New York. Qualified in 2024, 2 years ago. Practices with Our Lady of Lourdes Memorial Hospital Inc, a 249-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
2
Licensed in
NY, PA
In the registry since
2012
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

500 5th Ave
Owego, NY 13827-1620
Phone: (607) 687-1122
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 354372 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 632392 (PA)
Registered Nurse Taxonomy 163W00000X · Licence 588548 (NY)

Record details

NPI number1417227299
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , BSN , FNP-C
Sole proprietorNo
NPI enumeratedJanuary 10, 2012
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Our Lady Of Lourdes Memorial Hospital Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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