Active NPI
Michaelle Bryant, NP
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5016113
- Practice address
- 125 Queens Rd Ste 610&640
Charlotte, NC 28204-3278 - Phone
- (980) 302-6600
- Fax
- (980) 302-6605
- NPI assigned
- Sep 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 743758 | TX | |
| Nurse Practitioner | 363L00000X | 8039 | MN | |
| Nurse Practitioner | 363L00000X | 5016113 | NC | Primary |
Addresses
Primary practice location
125 Queens Rd Ste 610&640
Charlotte, NC 28204-3278
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
200 1st St SW
Rochester, MN 55905-4000
Phone (507) 284-2511
Other practice location 2
125 Queens Rd Ste 400
Charlotte, NC 28204-3579
Phone (980) 302-6400
Other names 1
- Michaelle Moise
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Queens Rd
Charlotte, NC 28204-3215
Phone (980) 302-6450
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5016113 | NC | MD | Nurse Practitioner |
| 743758 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Rowan Medical Center LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Rowan Medical Center, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Past | Accepting new patients | |
| Novant Medical Group, Inc. | Past | Accepting new patients |
Locations
125 Queens Rd
Ste 610
Charlotte, NC 28204
Phone (980) 302-6600
125 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (980) 302-6400
125 Queens Rd
Ste 430
Charlotte, NC 28204
Phone (980) 302-6300
125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
125 Queens Rd
Ste 610640
Charlotte, NC 28204
Phone (980) 302-6600
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
631 Mocksville Ave
#1020
Salisbury, NC 28144
Phone (704) 210-7600
Interoperability endpoints
- mbryant1614546@direct.novanthealth.org
- mmoise1389686@ehrdirect.mayoclinicmsg.org
Organizations & group practices 7
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
- Neurology Physician
- Salisbury, NC
- NPI 1508931544
-
- Hematology & Oncology Physician
- Salisbury, NC
- NPI 1427770130
-
- Hematology & Oncology Physician
- Charlotte, NC
- NPI 1275256422
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1740169820
-
- Interventional Cardiology Physician
- Charlotte, NC
- NPI 1205836434
-
- Pediatric Hematology & Oncology Physician
- Charlotte, NC
- NPI 1528467586
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1033428016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 QUEENS RD STE 610&640",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043278",
"telephone_number": "980-302-6600",
"fax_number": "980-302-6605"
}
],
"practiceLocations": [
{
"address_1": "200 1st St SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559054000",
"country_code": "US",
"telephone_number": "507-284-2511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 Queens Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282043579",
"country_code": "US",
"telephone_number": "980-302-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYANT",
"first_name": "MICHAELLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "743758",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "8039",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5016113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAELLE",
"last_name": "MOISE",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.