Wagner Mello Primary Care LLC
NPI 1568171882 · Primary Care Nurse Practitioner · Rockville Centre, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wagner Mello Primary Care LLC is a Primary Care Nurse Practitioner organization in Rockville Centre, NY (NPI 1568171882).
Provider details
- NPI number
- 1568171882
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Wagner Mello, Owner(631) 404-7073
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-15
- Last updated
- 2022-11-15
- Certified
- 2022-11-15
Frequently asked questions
- What is Wagner Mello Primary Care LLC's NPI number?
- Wagner Mello Primary Care LLC's National Provider Identifier (NPI) is 1568171882, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wagner Mello Primary Care LLC?
- Wagner Mello Primary Care LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Wagner Mello Primary Care LLC located?
- Wagner Mello Primary Care LLC's practice location on file with NPPES is 450 Sunrise Hwy, Rockville Centre, NY 11570-5053.
- What is Wagner Mello Primary Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Wagner Mello Primary Care LLC is (631) 404-7073.
- Does Wagner Mello Primary Care LLC accept Medicare?
- Wagner Mello Primary Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wagner Mello Primary Care LLC?
- The authorized official listed on Wagner Mello Primary Care LLC's NPPES record is Wagner Mello, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wagner Mello Primary Care LLC's NPI active?
- Yes — Wagner Mello Primary Care LLC's NPI (1568171882) is active in the NPPES registry as of the last update on 2022-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.