Individual provider Active NPI

Jessica McCullen Meisenhelder, NP

  • Family Nurse Practitioner
  • Goldsboro, NC
National Provider Identifier
1447768502
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010164 Issued in NC
Practice address
203 Cox Blvd
Goldsboro, NC 27534-9479
Phone
(919) 580-0000
Fax
(919) 580-0209
NPI assigned
Jan 11, 2018
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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 5010164 NC Primary

Addresses

Primary practice location

203 Cox Blvd
Goldsboro, NC 27534-9479

Mailing address

203 Cox Blvd
Goldsboro, NC 27534-9479
Phone (919) 580-0000

Other names 1

  • Jessica Hope McCullen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmeisenhelder@cancersmoc.direct.varian.com Direct

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
I20180321002317 NC Practitioner - Nurse Practitioner 0244592756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Medical Oncology CenterGroup PAC ID 8325017817, 10 clinicians

Practice addresses (Care Compare)

203 Cox Blvd
Goldsboro, NC 27534-9479
Phone (919) 580-0000

Merit-based Incentive Payment System (MIPS)

Final score
99.2 of 100Reported as group
Quality
94.41
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5010164NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Medical Oncology Center CurrentSince Jan 13, 2018 Accepting new patients

Locations

211 Beaman St
Clinton, NC 28328
Phone (877) 293-1973

203 Cox Blvd
Goldsboro, NC 27534
Phone (919) 580-0000

Interoperability endpoints

  • Direct secure messaging: jmeisenhelder@cancersmoc.direct.varian.com

Organizations & group practices 1

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": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1447768502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349479",
            "telephone_number": "919-580-0000",
            "fax_number": "919-580-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349479",
            "telephone_number": "919-580-0000",
            "fax_number": "919-580-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISENHELDER",
        "first_name": "JESSICA",
        "middle_name": "MCCULLEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmeisenhelder@cancersmoc.direct.varian.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "203 Cox Blvd",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MCCULLEN",
            "middle_name": "HOPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.