Individual provider Active NPI

Melissa Blakely Beitzel, PA-C

  • Physician Assistant
  • Lillington, NC
National Provider Identifier
1245495068
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01440 Issued in NC
Practice address
7 East Duncan St
Lillington, NC 27546
Phone
(910) 893-2641
NPI assigned
Jul 21, 2008
Last updated
Nov 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-01440 NC Primary
Medical Physician Assistant 363AM0700X 0010-01440 NC

Addresses

Primary practice location

7 East Duncan St
Lillington, NC 27546

Mailing address

PO Box 2002
Angier, NC 27501-2002
Phone (919) 946-4828

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
I20080822000513 NC Practitioner - Physician Assistant 0941375364 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brinkley Brown Mental Wellness PLLCGroup PAC ID 3173917010, 10 clinicians

Practice addresses (Care Compare)

1480 Chapel Ridge Rd
Suite 220
Apex, NC 27502-8504
Phone (919) 355-9792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-01440NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Best Day Psychiatry and Counseling, PC CurrentSince Jul 6, 2012 Accepting new patients
Lillington Family Medical Center, PA Past Accepting new patients

Locations

2587 Ravenhill Dr
Fayetteville, NC 28303
Phone 9103231543250

Organizations & group practices 6

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1245495068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2002",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275012002",
            "telephone_number": "919-946-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 EAST DUNCAN ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "27546",
            "telephone_number": "910-893-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITZEL",
        "first_name": "MELISSA",
        "middle_name": "BLAKELY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01440",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-01440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

Verify at the official NPI Registry.