Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Miss. Melissa R Dezan, MS, FNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1346609773

Miss. Melissa R Dezan, MS, FNP-BC is a Nurse Practitioner in Queens Village, New York. Qualified in 2022, 4 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2016
Specialties on file
4
What do these letters mean?
MS — Master of Science
A graduate science degree.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

7925 Winchester Blvd
Queens Village, NY 11427-2128
Phone: (718) 464-7500
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 350891 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 407997 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 3209241 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 726454 (NY)

Record details

NPI number1346609773
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 13, 2016
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients14
Services billed 21 a service is one billed item, such as a visit, a test or a procedure
Average patient age66

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at New York University

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 5884 clinicians in the practice; 12 are shown here.

Other providers in Queens Village