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

MS. Melissa Fackler, MSN, RN, CCRNFNP

Individual provider Family Nurse Practitioner · NPI 1215470257

MS. Melissa Fackler, MSN, RN, CCRNFNP is a Nurse Practitioner in Manhasset, New York. Qualified in 2019, 7 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1350 Northern Blvd Ste 202
Manhasset, NY 11030
Phone: (516) 482-3401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1350 Northern Blvd Ste 202, Manhasset, NY 11030 — (516) 482-3401

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 687779-1 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 687779-1 (NY)

Record details

NPI number1215470257
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , RN , CCRNFNP
Sole proprietorNo
NPI enumeratedNovember 23, 2016
Last updated in NPPESOctober 29, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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