NPIMap

Individual provider Active NPI

Melissa Harrison Rosbrugh, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1003992900
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05054 Issued in NC
Practice address
8450 Park Rd
Charlotte, NC 28210-5801
Phone
(980) 308-0143
Fax
(980) 308-0142
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18668 CA
Physician Assistant 363A00000X 0010-05054 NC Primary

Addresses

Primary practice location

8450 Park Rd
Charlotte, NC 28210-5801

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrosbrugh1023708@direct.novanthealth.org

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
I20141101000077 NC Practitioner - Physician Assistant 4183625825 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

1302 Wesley Chapel Rd
Suite a
Indian Trail, NC 28079-5243
Phone (704) 635-6411

13129 S Tryon St
Suite 120
Charlotte, NC 28278-7915
Phone (980) 337-4662

1530 S Providence Rd
Waxhaw, NC 28173-8313
Phone (704) 627-8365

600 Highland Oaks Dr
Winston Salem, NC 27103-7107
Phone (366) 774-0040

8036 Providence Rd
Suite 100
Charlotte, NC 28277-0257
Phone (980) 301-8711

8450 Park Rd
Charlotte, NC 28210-5801
Phone (980) 308-0143

9600 E Independence Blvd
Suite B
Matthews, NC 28105-4628
Phone (704) 815-5624

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18668CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC CurrentSince Dec 24, 2021 Accepting new patients
Emergency Medicine Physician Partners of Riverside County, Inc Past Accepting new patients
Emergency Medicine Physician Partners of San Bernardino County, Inc Past Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients

Locations

8450 Park Rd
Charlotte, NC 28210
Phone (980) 308-0143

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

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 and National Provider Directory roles.

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1003992900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105801",
            "telephone_number": "980-308-0143",
            "fax_number": "980-308-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSBRUGH",
        "first_name": "MELISSA",
        "middle_name": "HARRISON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18668",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrosbrugh1023708@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8450 Park Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282105801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.