Individual provider Active NPI

Melanie Marie Holstead, CNP

  • Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1194248286
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21889 Issued in SC
Practice address
200 Herlong Ave S Ste G
Rock Hill, SC 29732-1182
Phone
(803) 909-6300
Fax
(803) 909-6310
NPI assigned
Jul 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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 21889 SC Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.021102 OH

Addresses

Primary practice location

200 Herlong Ave S Ste G
Rock Hill, SC 29732-1182

Mailing address

PO Box 4012
Youngstown, OH 44515-0012
Phone (330) 270-2350

Other practice location 1

540 Parmalee Ave Ste 610
Youngstown, OH 44510
Phone (330) 744-4369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20180827002033 SC Practitioner - Nurse Practitioner 2860765468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians

Practice addresses (Care Compare)

2633 Celanese Rd
Rock Hill, SC 29732-1205
Phone (803) 325-1770

Hospital & facility affiliations

  • Neighbors Care Home Health Agency, an Amedisys Co Home health agency, Chester, SC, CCN 427063
  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002

Merit-based Incentive Payment System (MIPS)

Final score
87.26 of 100Reported as group
Quality
84.96
Promoting interoperability
100
Improvement activities
40
Cost
72.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.021102OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC Nurse Practitioner CurrentSince Jul 18, 2018 Accepting new patients
Northeastern Ohio Infectious Disease Association, Inc. Past Accepting new patients
Piedmont General Surgery Associates, LLC Past Accepting new patients

Locations

200 Herlong Ave S
Ste G
Rock Hill, SC 29732
Phone (803) 325-1770

200 Herlong Ave S
Ste B
Rock Hill, SC 29732
Phone (803) 324-1950

2633 Celanese Rd
Rock Hill, SC 29732
Phone (803) 325-1770

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

Interoperability endpoints

  • Direct secure messaging: melanie.bucciarelli.1@14929.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 3

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 2

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": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1194248286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4012",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445150012",
            "telephone_number": "330-270-2350",
            "fax_number": "330-270-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HERLONG AVE S STE G",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321182",
            "telephone_number": "803-909-6300",
            "fax_number": "803-909-6310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Parmalee Ave Ste 610",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "44510",
            "country_code": "US",
            "telephone_number": "330-744-4369",
            "fax_number": "330-744-1728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLSTEAD",
        "first_name": "MELANIE",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "21889",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.