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

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)

Not enrolled

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": []
}

• Suzanne Hock Macmorris, PHD MSW LCSW
• Olivia Magnuson, RBT
• Amelia Bezerra Maguire, DPM
• Jacqueline Ann Mailley, PTA
• Rita Main, HS1
• Jessica Marie Manfre
• Alan Richard Maniet, DO
• Stewart Cleaves Manning, M.D.
• Manuli Internal Medicine, PLLC
• Steven P Manuli, MD

• All providers in Elizabeth City, NC
• 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.