Melissa Kulbis, AGNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SP026962 Issued in PA

Practice address

330 Innovation Blvd
State College, PA 16803-6611

Phone

(877) 779-2429

NPI assigned

May 2, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Bolger Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balanced Wellbeing Nationwide PA 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Balanced Wellbeing Nationwide PA

  • Psychiatry Physician
  • State College, PA
  • NPI 1710863089

  PA

  Medicare reassignment Care Compare group NPD
• Balanced Wellbeing Nationwide PA

  • Psychiatry Physician
  • Aiken, SC
  • NPI 1346100393
  Care Compare group NPD
• Balanced Wellbeing Nationwide PA

  • Psychiatry Physician
  • Williston, VT
  • NPI 1386589349
  Care Compare group
• Balanced Wellbeing Nationwide PA

  • Psychiatry Physician
  • Austin, TX
  • NPI 1841162856
  Care Compare group

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1063201465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 NUMBER 10 RD",
            "city": "NEW COLUMBIA",
            "state": "PA",
            "postal_code": "178569356",
            "telephone_number": "267-347-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 INNOVATION BLVD",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036611",
            "telephone_number": "877-779-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULBIS",
        "first_name": "MELISSA",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP026962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BOLGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Anne Kriley, LSW
• Eric S. Kroner, PA-C
• Richard M Kubina Jr., PH.D.
• Casey Joe Kulago
• Jillian Ann Kulago, DR. OF PHARMACY
• Bradley Scott Kulig, D.C.
• Julie Elyse Kulig, D.C.
• Shama Anil Kulkarni, DMD
• Elle Cruz Kunisch, CRNP
• Camryn Nicole Kurilla, NCC

• All providers in State College, PA
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.