Amelia L Maisonave

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-16762 Issued in NC

Practice address

3050 Halstead Blvd Ext
Elizabeth City, NC 27909-4994

Phone

(252) 335-0531

NPI assigned

Nov 3, 2025

Last updated

Aug 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Emergency Medicine Physicians of Mecklenburg County, PLLC

  • Emergency Medicine Physician
  • Charlotte, NC
  • NPI 1912232182
  NPD
• Usacs Integrated Acute Care Services of North Carolina, PLLC

  • Internal Medicine Physician
  • Elizabeth City, NC
  • NPI 1437869302
  NPD

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1235008756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 HALSTEAD BLVD EXT",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094994",
            "telephone_number": "252-335-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 HALSTEAD BLVD EXT",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094994",
            "telephone_number": "252-335-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISONAVE",
        "first_name": "AMELIA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-16762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Magnuson, RBT
• Amelia Bezerra Maguire, DPM
• Jacqueline Ann Mailley, PTA
• Rita Main, HS1
• Mainstreet and Kidsstreet of North Carolina PLLC
• Jessica Marie Manfre
• Alan Richard Maniet, DO
• Stewart Cleaves Manning, M.D.
• Manuli Internal Medicine, PLLC
• Steven P Manuli, MD

• Physician Assistant in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.