Michelle Leigh Ollis, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5015127 Issued in NC

Practice address

3364 Eastwood Ave
Morganton, NC 28655-8944

Phone

(828) 443-2604

NPI assigned

Jul 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Michelle Leigh Lukomski Former name

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.

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1467024281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3364 EASTWOOD AVE",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286558944",
            "telephone_number": "828-443-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3364 EASTWOOD AVE",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286558944",
            "telephone_number": "828-443-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLIS",
        "first_name": "MICHELLE",
        "middle_name": "LEIGH",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "LUKO-63AB4",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LUKOMSKI",
            "middle_name": "LEIGH",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lacey Nicole O'Rourke
• Alexander Noah Ofisa II
• Todd Eric Ogrodowczyk, M.D.
• Deborah Pendleton Ollis, MA, LPC
• Kimberly Lowman Ollis, LPC
• Katherine Olsen, LCSWA
• Daniel Olson, M.D.
• Omni Visions, Inc.
• One Love Periodic Services
• One Love Periodic Services

• Family Nurse Practitioner in Morganton, NC
• Providers in Morganton, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.