NPIMap

Individual provider Active NPI

Michelle Sluder Elliott, FNP

  • Family Nurse Practitioner
  • Valdese, NC
National Provider Identifier
1003231705
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006780 Issued in NC
Practice address
2659 US Highway 70 E
Valdese, NC 28690-9517
Phone
(828) 580-4080
Fax
(828) 580-4089
NPI assigned
Mar 4, 2014
Last updated
Apr 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5006780 NC Primary

Addresses

Primary practice location

2659 US Highway 70 E
Valdese, NC 28690-9517

Mailing address

2659 US Highway 70 E
Valdese, NC 28690-9517
Phone (828) 580-4080

Other identifiers 1

IdentifierTypeStateIssuer
1003231705MedicaidNC

Other names 1

  • Michelle S Duckworth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140512000490 NC Practitioner - Nurse Practitioner 1759514060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2659 US 70
Valdese, NC 28690-9517
Phone (828) 580-4080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5006780NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Women's Health Group Past Accepting new patients

Locations

2293 Sugar Hill Rd
#D
Marion, NC 28752
Phone (828) 652-8727

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

5920 US Highway 70 E
Nebo, NC 28761
Phone (828) 659-9703

2659 US Highway 70 E
Valdese, NC 28690
Phone (828) 580-4080

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0010533

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1003231705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 US HIGHWAY 70 E",
            "city": "VALDESE",
            "state": "NC",
            "postal_code": "286909517",
            "telephone_number": "828-580-4080",
            "fax_number": "828-580-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 US HIGHWAY 70 E",
            "city": "VALDESE",
            "state": "NC",
            "postal_code": "286909517",
            "telephone_number": "828-580-4080",
            "fax_number": "828-580-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "MICHELLE",
        "middle_name": "SLUDER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003231705",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DUCKWORTH",
            "middle_name": "S",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valdese, NC

Sources for this page

Verify at the official NPI Registry.