Melissa Roseann Dean-Appasu, NP
Individual provider Active NPI Family Nurse Practitioner · Roxboro, NC
NPI 1174910152 · NPPES record last updated Nov 30, 2022
Key facts
- NPI
- 1174910152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5009788 (NC)
- Practice address
- 3762 Durham Rd Ste a
Roxboro, NC 27573-2741 - Phone
- (336) 330-0400
- Fax
- (336) 330-0031
- NPI assigned
- Apr 17, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Galatians Foundation
Carolina Quickcare Family Practice, PLLC
Practice addresses (Care Compare)
1004 Dresser CT
Suite 102
Raleigh, NC 27609-7325
Phone (919) 556-1008
506 Retail Way
Louisburg, NC 27549-6477
Phone (252) 673-3826
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IN, NC, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160106002743 | IN | Practitioner - Nurse Practitioner | 3476855594 | Reassigns benefits to 1 organization |
| I20170927003543 | NC | Practitioner - Nurse Practitioner | 3476855594 | Reassigns benefits to 7 organizations |
| I20250122000458 | CA | Practitioner - Nurse Practitioner | 3476855594 |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291077 | NC | MD | Registered Nurse |
| 28201639A | IN | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Person Urgent Care LLC | Current |
Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| Carolinas Physicians Network, Inc | Current |
Accepting new patients | |
| DLP Maria Parham Physician Practices LLC | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolina Quickcare Family Practice, PLLC | Current |
Accepting new patients | |
| Compassion Virtual Care | Registered Nurse | Current |
Accepting new patients |
| Vision Behavioral Health Services | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices LLC | Current |
Accepting new patients | |
| Galatians Foundation | Current |
Accepting new patients | |
| Community Physicians of Indiana Inc | Current |
Accepting new patients | |
| Fast Doc LLC | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Community Physicians of Indiana Inc | Current |
Accepting new patients | |
| DLP Person Urgent Care LLC | Current |
Accepting new patients | |
| Fast Lab Technologies LLC | Past |
Accepting new patients | |
| Medexpress, Inc - Delaware | Past | Accepting new patients | |
| Carolina Partners in Mental | Past |
Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
105 Yadkin St
Ste 301
Albemarle, NC 28001
Phone (704) 982-9144
2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773
511 Ruin Creek Rd
Ste 101
Henderson, NC 27536
Phone (252) 436-0440
100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143
1501 N Bickett Blvd
Ste E
Louisburg, NC 27549
Phone (919) 497-0445
104 N Main St
#200
Louisburg, NC 27549
Phone (919) 496-7781
506 Retail Way
Louisburg, NC 27549
Phone (252) 673-3826
1004 Dresser Ct
Ste 102
Raleigh, NC 27609
Phone (919) 556-1008
3350 Six Forks Rd
Raleigh, NC 27609
Phone (919) 556-1008
4551 New Bern Ave
Ste 160
Raleigh, NC 27610
Phone (919) 556-1008
3762 Durham Rd
Ste A
Roxboro, NC 27573
Phone (336) 330-0400
215 Water St
Brooklyn, NY 11201
Phone (917) 503-9404
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIFJDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 28201639A | IN | |
| Family Nurse Practitioner | 363LF0000X | 5009788 | NC | Yes |
| Registered Nurse | 163W00000X | 291077 | NC |
Addresses
Primary practice location
3762 Durham Rd Ste a
Roxboro, NC 27573-2741
Mailing address
3762 Durham Rd Ste a
Roxboro, NC 27573-2741
Phone (336) 330-0400
Other practice location 1
5356 Fallwood Dr Apt 111
Indianapolis, IN 46220-5649
Phone (317) 500-5068
Other practice location 2
840 Glenwood Avenue, Raleigh, NC -
Raleigh, NC 27612-7133
Phone (919) 845-5276
Other practice location 3
6840 Glenwood Ave
Raleigh, NC 27612-7133
Phone (866) 389-2727
Other practice location 4
1055 Dresser Ct
Raleigh, NC 27609-7323
Phone (919) 876-3130
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201299320 | Medicaid | IN | |
| 1174910152 | Medicaid | NC |
Other names
- Melissa Jallow
Other providers in Roxboro, NC
- Shannon Obriant Davis
- Jean Ann Davison
- Thomas Jones Day Jr.
- Daymark Recovery Services Inc
- Jay Emmanuel De la Cruz
- James Russell Devillier
- Vijay R Dhoopati
- Lauren Dipietro
- DLP Person Memorial Hospital LLC
- DLP Person Memorial Hospital LLC
All providers in Roxboro, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.