MELISSA SUE ANDERSON (AG-ACNP) – Acute Care Nurse Practitioner, NPI 1407460868

MELISSA SUE ANDERSON (AG-ACNP) is a healthcare provider. based in Vienna, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials AG-ACNP. They hold a License No. R198239 (MD). The NPI Number for MELISSA SUE ANDERSON (AG-ACNP) is 1407460868

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA SUE ANDERSON (AG-ACNP)
NPI
1407460868
Phone
(908) 455-0266
Address
2667 AVENIR PLACE
Enumeration Date
3 September 2020
Last Update Date
3 September 2020

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7037764001
Graduation Year
2020 (6 years ago)
PAC ID
0547671539
Group Practice PAC ID
2466351093
Professional Enrollment ID
I20201123003177
Address ID
VA220423307FA3300XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for MELISSA SUE ANDERSON (AG-ACNP)

  • 2667 AVENIR PLACE

    APT 3223

    VIENNA, VA 22180

    Phone: (908) 455-0266

    Type: Mailing

  • 3300 GALLOWS RD

    FALLS CHURCH, VA 220423300

    Phone: (703) 289-8678

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2023-03-10 • Largest payer in this snapshot: ABIOMED ($102).

Total Amount

$102

General + Research + Ownership

Payments

1

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$102
View all Open Payments →|Open Payments Risk Radar →

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: 2020-11-23

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
I20201123003177INurse PractitionerDCTBD

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 22180)

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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: 2466351093View full group profile

Reviews

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Frequently asked questions

How do payers reference MELISSA SUE ANDERSON (AG-ACNP)?
For MELISSA SUE ANDERSON (AG-ACNP), use NPI 1407460868 as the unique 10-digit identifier.
Is MELISSA SUE ANDERSON (AG-ACNP) still an active registrant?
MELISSA SUE ANDERSON (AG-ACNP) carries an active NPI according to the public dataset.
How would a patient describe MELISSA SUE ANDERSON (AG-ACNP)'s focus?
For MELISSA SUE ANDERSON (AG-ACNP), the primary taxonomy reads as Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MELISSA SUE ANDERSON (AG-ACNP)?
Travel planning: use Vienna, Virginia as the reference point for MELISSA SUE ANDERSON (AG-ACNP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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