Active NPI
Melissa Anne Benson, AGPCNP
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5005277
- Practice address
- 10905 Providence Rd W
Ste G200
Charlotte, NC 28277-1538 - Phone
- (980) 488-4900
- Fax
- (980) 488-4905
- NPI assigned
- Aug 30, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5005277 | NC | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 5005277 | NC |
Addresses
Primary practice location
10905 Providence Rd W
Ste G200
Charlotte, NC 28277-1538
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (980) 488-4900
Other practice location 1
1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-9740
Other practice location 2
125 Queens Rd Ste 200
Charlotte, NC 28204-3215
Phone (704) 343-9800
Other practice location 3
1640 E Roosevelt Blvd
Monroe, NC 28112-4017
Phone (704) 226-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093096422 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbenson116881@direct.novanthealth.org |
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
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
100 Medical Park Dr
Suite 210
Concord, NC 28025-2966
Phone (704) 403-6100
14135 Ballantyne Corporate PL
Suite 160
Charlotte, NC 28277-4221
Phone (704) 316-5000
14215 Ballantyne Corp PL
Suite 230
Charlotte, NC 28277
Phone (704) 316-5000
14215 Ballantyne Corporate PL
Suite 240
Charlotte, NC 28277-3875
Phone (704) 316-5000
3333 Silas Pkwy
Winston-Salem, NC 27103-3013
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5005277 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Medical Group, Inc | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| BRMG-PC | Past | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043
125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000
125 Queens Rd
Ste 200
Charlotte, NC 28204
10905 Providence Rd W
Ste G200
Charlotte, NC 28277
Phone (980) 488-4900
301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
100 Medical Park Dr
Ste 210
Concord, NC 28025
Phone (704) 403-6100
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
1640 E Roosevelt Blvd
Monroe, NC 28112
Phone (704) 226-0500
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- mbenson2736932@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 16
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Hospitalist Physician
- Charlotte, NC
- NPI 1306855846
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Hospitalist Physician
- Matthews, NC
- NPI 1225479793
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Cardiovascular Disease Physician
- Mooresville, NC
- NPI 1285181958
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1598135188
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shelby, NC
- NPI 1669348991
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Monroe, NC
- NPI 1396790325
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1093096422",
"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",
"telephone_number": "980-488-4900",
"fax_number": "980-488-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10905 PROVIDENCE RD W",
"address_2": "STE G200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282771538",
"telephone_number": "980-488-4900",
"fax_number": "980-488-4905"
}
],
"practiceLocations": [
{
"address_1": "1500 Matthews Township Pkwy",
"address_purpose": "LOCATION",
"city": "Matthews",
"state": "NC",
"postal_code": "281054656",
"country_code": "US",
"telephone_number": "704-384-9740",
"fax_number": "704-384-9565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 Queens Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282043215",
"country_code": "US",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1640 E Roosevelt Blvd",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "NC",
"postal_code": "281124017",
"country_code": "US",
"telephone_number": "704-226-0500",
"fax_number": "704-226-0599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENSON",
"first_name": "MELISSA",
"middle_name": "ANNE",
"credential": "AGPCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5005277",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5005277",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093096422",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbenson116881@direct.novanthealth.org",
"affiliation": "N",
"address_1": "200 Hawthorne Ln",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282042515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Sep 27, 2024; 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.