MARISSA MELIDOR (APRN) – Acute Care Nurse Practitioner, NPI 1851196711

MARISSA MELIDOR (APRN) is a healthcare provider. based in Lakewood ranch, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11037710 (FL). The NPI Number for MARISSA MELIDOR (APRN) is 1851196711

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA MELIDOR (APRN)
NPI
1851196711
Phone
(941) 499-2700
Address
8130 LAKEWOOD MAIN ST STE 103
Enumeration Date
14 February 2025
Last Update Date
14 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
3870017478
Group Practice PAC ID
5597090274
Professional Enrollment ID
I20250404000805
Address ID
FL342025068LA8130XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for MARISSA MELIDOR (APRN)

  • 8130 LAKEWOOD MAIN ST STE 103

    LAKEWOOD RANCH, FL 342025068

    Phone: (941) 499-2700

    Fax: (941) 487-0474

    Type: Mailing

  • 8130 LAKEWOOD MAIN ST

    LAKEWOOD RANCH, FL 342025068

    Phone: (941) 499-2700

    Fax: (941) 487-0474

    Type: Location

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: 2025-04-04

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
I20250404000805INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34202)

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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: 5597090274View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineOR
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
Internal Medicine, Geriatric Medicine, Hospice/Palliative CareFL
Nurse PractitionerFL
Internal MedicineFL
Hospitalist, Internal MedicineFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I verify MARISSA MELIDOR (APRN) with an NPI only?
You can start verification with NPI 1851196711 for MARISSA MELIDOR (APRN), then check state licensing separately.
Does CMS list MARISSA MELIDOR (APRN) as active?
Yes — MARISSA MELIDOR (APRN) is active in the NPI listing used on this page.
What is MARISSA MELIDOR (APRN)'s primary classification?
Acute Care Nurse Practitioner is the headline specialty for MARISSA MELIDOR (APRN) here. Clinical services aligned with this taxonomy classification.
Does MARISSA MELIDOR (APRN) list a practice location?
Patients near Lakewood Ranch, Florida may find MARISSA MELIDOR (APRN) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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