Individual provider Active NPI

Melissa Edith Ott, FNP-C

  • Family Nurse Practitioner
  • Williamston, NC
National Provider Identifier
1225166242
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0050-02731 Issued in NC
Practice address
105BS Smithwick St
Williamston, NC 27892-2433
Phone
(252) 789-4111
Fax
(252) 789-4163
NPI assigned
Mar 1, 2007
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0050-02731 NC Primary

Addresses

Primary practice location

105BS Smithwick St
Williamston, NC 27892-2433

Mailing address

105BS Smithwick St
Williamston, NC 27892-2433
Phone (252) 789-4111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa.ott.p1@direct.cacnc.nextgenshare.com

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
I20070719000326 NC Practitioner - Nurse Practitioner 3274526751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Carolina Arthritis Center PAGroup PAC ID 0143232991, 5 clinicians

Practice addresses (Care Compare)

2303 Wellington Dr SW
Wilson, NC 27893-8620
Phone (252) 243-6818

2355 Hemby LN
Greenville, NC 27834-3776
Phone (252) 321-8474

Merit-based Incentive Payment System (MIPS)

Final score
93.44 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
78.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0050-02731NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Arthritis Center, PA CurrentSince Jul 31, 2017 Accepting new patients
Williamston Clinic Corp CurrentSince Oct 3, 2016 Accepting new patients

Locations

2355 Hemby Ln
Greenville, NC 27834
Phone (252) 321-8474

104 Medical Dr
Williamston, NC 27892
Phone (252) 809-6300

232 Green St
Williamston, NC 27892
Phone (252) 792-6611

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1225166242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105BS SMITHWICK ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922433",
            "telephone_number": "252-789-4111",
            "fax_number": "252-789-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105BS SMITHWICK ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922433",
            "telephone_number": "252-789-4111",
            "fax_number": "252-789-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "MELISSA",
        "middle_name": "EDITH",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "0050-02731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.ott.p1@direct.cacnc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2355 Hemby Ln",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278343776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

Verify at the official NPI Registry.