Individual provider Active NPI

Melissa Rose Mesenburg, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Port Royal, SC
National Provider Identifier
1215520580
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
24064 Issued in SC
Practice address
1110 13TH St
Port Royal, SC 29935-1938
Phone
(843) 525-6257
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 24064 SC Primary

Addresses

Primary practice location

1110 13TH St
Port Royal, SC 29935-1938

Mailing address

1110 13TH St
Port Royal, SC 29935-1938

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissam@fochospice.org

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
I20210603002546 SC Practitioner - Nurse Practitioner 6204235708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

989 Ribaut Rd
Suite 210
Beaufort, SC 29902-5481
Phone (843) 522-7820

Hospital & facility affiliations

  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Aug 5, 2024 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Aug 5, 2024 Accepting new patients
Friends of Caroline Hospice of Beaufort, Inc Past Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

955 Ribaut Rd
#C
Beaufort, SC 29902

989 Ribaut Rd
Ste 210
Beaufort, SC 29902
Phone (843) 522-7820

122 Okatie Center Blvd N
Ste 320
Okatie, SC 29909
Phone (843) 522-7820

1000 Pine St W
Varnville, SC 29944
Phone (803) 943-5228

Interoperability endpoints

  • Direct secure messaging: melissa.mesenburg.1@16436.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1215520580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 13TH ST",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 13TH ST",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351938",
            "telephone_number": "843-525-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESENBURG",
        "first_name": "MELISSA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "24064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissam@fochospice.org",
            "affiliation": "N",
            "address_1": "1110 13th St",
            "city": "Port Royal",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299351938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Royal, SC

Sources for this page

Verify at the official NPI Registry.