Individual provider Active NPI

Adrianna Molisani, FNP

  • Family Nurse Practitioner
  • Sheridan, WY
National Provider Identifier
1053139451
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10240003 Issued in NC
Practice address
H20N Gould St Ste R
Sheridan, WY 82801
Phone
(940) 548-3362
Fax
(800) 805-7962
NPI assigned
Oct 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 338922 NC
Family Nurse Practitioner 363LF0000X F10240003 NC Primary

Addresses

Primary practice location

H20N Gould St Ste R
Sheridan, WY 82801

Mailing address

9713 Misenheimer Rd
Charlotte, NC 28215-4429

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
I20241217000063 NC Practitioner - Nurse Practitioner 4385171271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ballantyne Medical Associates PLLCGroup PAC ID 6305949223, 6 clinicians

Practice addresses (Care Compare)

15640 Don Lochman LN
Suite a
Charlotte, NC 28277-4793
Phone (704) 540-1640

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338922NCMDRegistered Nurse
F10240003NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ballantyne Medical Associates PLLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

3541 Randolph Rd
Ste 303
Charlotte, NC 28211
Phone (704) 333-0463

15640 Don Lochman Ln
Ste A
Charlotte, NC 28277
Phone (704) 540-1640

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1053139451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9713 MISENHEIMER RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "H20N GOULD ST STE R",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "82801",
            "telephone_number": "940-548-3362",
            "fax_number": "800-805-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLISANI",
        "first_name": "ADRIANNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "338922",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F10240003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.