Individual provider Active NPI

Melissa Anne Benson, AGPCNP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1093096422
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5005277 Issued in NC
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

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1093096422MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110923000000 NC Practitioner - Nurse Practitioner 0941471924 Reassigns benefits to 5 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
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

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

LicenseStateTypeSpecialty
5005277NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2014 Accepting new patients
The Presbyterian Hospital CurrentSince Oct 18, 2015 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 25, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 25, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 25, 2025 Accepting new patients
The Presbyterian Hospital CurrentSince Oct 18, 2015 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 CurrentSince Feb 1, 2014 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Medical Group, Inc CurrentSince Oct 18, 2015 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 25, 2025 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

  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 10

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": "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

Verify at the official NPI Registry.