Individual provider Active NPI

Melissa Muller Rothrock, AGNP-C

  • Gerontology Nurse Practitioner
  • Chapel Hill, NC
National Provider Identifier
1467970160
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
208572 Issued in NC
Practice address
The Chapel Hill Residential Retirement Center, Inc. D/B
750 Weaver Dairy Road
Chapel Hill, NC 27514-1438
Phone
(919) 968-4511
Fax
(919) 918-3263
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 208572 NC Primary

Addresses

Primary practice location

The Chapel Hill Residential Retirement Center, Inc. D/B
750 Weaver Dairy Road
Chapel Hill, NC 27514-1438

Mailing address

The Chapel Hill Residential Retirement Center, Inc. D/B
750 Weaver Dairy Road
Chapel Hill, NC 27514-1438
Phone (919) 918-3218

Other names 1

  • Ms. Melissa Ann Muller Former name

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
I20171121002306 NC Practitioner - Nurse Practitioner 7719244011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
The Chapel Hill Residential Retirement Center, Inc.Group PAC ID 1052209657, 6 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

750 Weaver Dairy Rd
Chapel Hill, NC 27514-1438
Phone (919) 968-4511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
208572NCMDGerontology Nurse Practitioner

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1467970160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE CHAPEL HILL RESIDENTIAL RETIREMENT CENTER, INC. D/B",
            "address_2": "750 WEAVER DAIRY ROAD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141438",
            "telephone_number": "919-918-3218",
            "fax_number": "919-918-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE CHAPEL HILL RESIDENTIAL RETIREMENT CENTER, INC. D/B",
            "address_2": "750 WEAVER DAIRY ROAD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141438",
            "telephone_number": "919-968-4511",
            "fax_number": "919-918-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHROCK",
        "first_name": "MELISSA",
        "middle_name": "MULLER",
        "name_prefix": "Ms.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "208572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MULLER",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.