Melissa Diane Mattimore I, RN, ACNP
Melissa Diane Mattimore I, RN, ACNP is a Nurse Practitioner in New York, New York. Qualified in 2008, 18 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 18
- Licensed in
- NY
- In the registry since
- 2008
What do these letters mean?
Practice location Address checks out
1190 5th Ave Box 1458New York, NY 10029-6503 Not confirmed with CMS for 15 years — call before visiting
Phone: (917) 538-2769
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence F430405-1 (NY) |
|---|
Record details
| NPI number | 1710140793 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RN , ACNP |
| Sole proprietor | No |
| NPI enumerated | July 9, 2008 |
| Last updated in NPPES | January 14, 2011 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | North Shore-Lij Medical Pc — 6350 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Medicare patients and services, 2024
| Medicare patients | 80 |
|---|---|
| Services billed | 190 |
| Average patient age | 77 |
Payments from drug and device companies, 2025
| Food and Beverage | $765 |
|---|---|
| Travel and Lodging | $446 |
Colleagues at North Shore-Lij Medical PC
- Dr. Priya Agarwala, MD Pulmonary Disease Physician · Mineola, NY
- Dr. Gina Coscia, MD Pediatrics Physician · Great Neck, NY
- Gregory Dumchin Physician Assistant · Brooklyn, NY
- Nykke Flaum, LCSW Social Worker · Valley Stream, NY
- Jennifer Fox Registered Dietitian · Sleepy Hollow, NY
- Dr. Andrew David Goodwillie, MD Sports Medicine (Orthopaedic Surgery) Physician · Great Neck, NY
- Brent Gottesman, MD Emergency Medicine Physician · Manhasset, NY
- Dr. Marisa Ip, MD Internal Medicine Physician · Roslyn Heights, NY
- Michael Konig, DO Student in an Organized Health Care Education/Training Program · Brooklyn, NY
- Dr. Lydia Adel Makaryus, DO Child & Adolescent Psychiatry Physician · Garden City, NY
- Anthony James Tisi, PA Physician Assistant · Westbury, NY
- Oana Vele Molecular Genetic Pathology (Medical Genetics) Physician · Stanford, CA
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