Individual provider Active NPI

Michaelle Bryant, NP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1033428016
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5016113 Issued in NC
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

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241115003353 NC Practitioner - Nurse Practitioner 9133304819 Reassigns benefits to 2 organizations

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
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

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

LicenseStateTypeSpecialty
5016113NCMDNurse Practitioner
743758TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Rowan Medical Center LLC Current Accepting new patients
The Presbyterian Hospital CurrentSince Sep 21, 2024 Accepting new patients
The Presbyterian Hospital CurrentSince Sep 21, 2024 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Sep 21, 2024 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
The Presbyterian Hospital PastSince Oct 20, 2024 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

  • Direct secure messaging: mbryant1614546@direct.novanthealth.org
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.