DR. MELANIE A NUSZKOWSKI (PH.D.) – Clinical Psychologist, NPI 1558643833

DR. MELANIE A NUSZKOWSKI (PH.D.) is a healthcare provider. based in St augustine, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY8328 (FL). The NPI Number for DR. MELANIE A NUSZKOWSKI (PH.D.) is 1558643833

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELANIE A NUSZKOWSKI (PH.D.)
NPI
1558643833
Phone
(904) 797-2705
Address
9 SAINT JOHNS MEDICAL PARK DR
Enumeration Date
13 September 2011
Last Update Date
13 September 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
6406014430
Group Practice PAC ID
4587852249
Professional Enrollment ID
I20120222000807
Address ID
FL320865954ST9XXXXDRXX601
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. MELANIE A NUSZKOWSKI (PH.D.)

  • 9 SAINT JOHNS MEDICAL PARK DR

    ST AUGUSTINE, FL 320865343

    Phone: (904) 797-2705

    Fax: (904) 797-2820

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120222000807IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour23120$0
View full utilization report →

Insurance plans in this area (ZIP 32086)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587852249View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL

Reviews

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Frequently asked questions

Can I cross-check DR. MELANIE A NUSZKOWSKI (PH.D.) using NPI 1558643833?
NPI 1558643833 belongs to DR. MELANIE A NUSZKOWSKI (PH.D.); compare other details if you need extra assurance.
Would DR. MELANIE A NUSZKOWSKI (PH.D.) appear as active to a payer?
You can treat DR. MELANIE A NUSZKOWSKI (PH.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. MELANIE A NUSZKOWSKI (PH.D.)?
DR. MELANIE A NUSZKOWSKI (PH.D.) is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is DR. MELANIE A NUSZKOWSKI (PH.D.) registered?
Use St Augustine, Florida as the headline location for DR. MELANIE A NUSZKOWSKI (PH.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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