Individual provider Active NPI

Melissa Hulce

  • Family Nurse Practitioner
  • Conover, NC
National Provider Identifier
1083162937
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5008936 Issued in NC
Practice address
305 1St St E
Conover, NC 28613-1715
Phone
(828) 464-3821
Fax
(828) 464-8994
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5008936 NC Primary

Addresses

Primary practice location

305 1St St E
Conover, NC 28613-1715

Mailing address

3753 Glen Arbor Dr
Maiden, NC 28650-8352
Phone (828) 638-0399

Other practice location 1

3753 Glen Arbor Dr
Maiden, NC 28650-8352
Phone (828) 638-0399

Other identifiers 1

IdentifierTypeStateIssuer
5008936OtherNCNC BOARD OF NURSING FNP NUMBER

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
I20161214001817 NC Practitioner - Nurse Practitioner 8325328040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians

Practice addresses (Care Compare)

305 1St St E
Conover, NC 28613-1715
Phone (828) 464-3821

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5008936NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Nov 6, 2017 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Wake Forest Health Network LLC CurrentSince Nov 6, 2017 Accepting new patients
Wake Forest Health Network LLC Past Accepting new patients
Cornerstone Health Care PA Past Accepting new patients
Cornerstone Health Care LLC Past Accepting new patients

Locations

305 1st St E
Conover, NC 28613
Phone (828) 464-3821

2359 Springs Rd NE
Hickory, NC 28601
Phone (828) 210-2803

1701 Westchester Dr
Ste 850
High Point, NC 27262
Phone (336) 802-2400

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

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 8

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": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083162937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3753 GLEN ARBOR DR",
            "city": "MAIDEN",
            "state": "NC",
            "postal_code": "286508352",
            "telephone_number": "828-638-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 1ST ST E",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286131715",
            "telephone_number": "828-464-3821",
            "fax_number": "828-464-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3753 Glen Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "Maiden",
            "state": "NC",
            "postal_code": "286508352",
            "country_code": "US",
            "telephone_number": "828-638-0399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULCE",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF NURSING FNP NUMBER",
            "identifier": "5008936",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

Verify at the official NPI Registry.