Individual provider Active NPI

Helen Diane Meelheim, F.N.P.

  • Nurse Practitioner
  • Beaufort, NC
National Provider Identifier
1326185372
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
116607 Issued in NC
Practice address
1620 Live Oak St
Beaufort, NC 28516-1581
Phone
(252) 728-5737
Fax
(252) 728-5739
NPI assigned
Jan 31, 2007
Last updated
Jun 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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 116607 NC Primary

Addresses

Primary practice location

1620 Live Oak St
Beaufort, NC 28516-1581

Mailing address

1620 Live Oak St
Beaufort, NC 28516-1581
Phone (252) 728-5737

Other identifiers 1

IdentifierTypeStateIssuer
700699MedicaidNC

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
I20110222000733 NC Practitioner - Nurse Practitioner 3476734625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116607NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Water Medical, PA CurrentSince Feb 7, 2011 Accepting new patients
Open Water Medical, PA CurrentSince Feb 7, 2011 Accepting new patients

Locations

1620 Live Oak St
Ste C
Beaufort, NC 28516
Phone (252) 728-5737

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1326185372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 LIVE OAK ST",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285161581",
            "telephone_number": "252-728-5737",
            "fax_number": "252-728-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 LIVE OAK ST",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285161581",
            "telephone_number": "252-728-5737",
            "fax_number": "252-728-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEELHEIM",
        "first_name": "HELEN",
        "middle_name": "DIANE",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "116607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700699",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, NC

Sources for this page

Verify at the official NPI Registry.