Individual provider Active NPI

Michelle Sutton Bellissimo, APRN FNP-BC FNP-C

  • Family Nurse Practitioner
  • Benson, NC
National Provider Identifier
1508539792
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014778 Issued in NC
Practice address
13440 NC 210 Highway
Benson, NC 27504-7225
Phone
(919) 207-3086
NPI assigned
Jul 26, 2021
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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 5014778 NC Primary

Addresses

Primary practice location

13440 NC 210 Highway
Benson, NC 27504-7225

Mailing address

13440 NC 210 Highway
Benson, NC 27504-7225

Other names 1

  • Michelle Sutton Bellissimo Professional 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
I20220107001829 NC Practitioner - Nurse Practitioner 1153713847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benson Area Medical Center, Inc.Group PAC ID 7618872284, 4 clinicians

Practice addresses (Care Compare)

3333 NC Hwy 242 N
Benson, NC 27504-7844
Phone (910) 894-2011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5014778NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Benson Area Medical Center, Inc. CurrentSince May 1, 2025 Accepting new patients

Locations

3333 NC Highway 242 N
Benson, NC 27504
Phone (910) 894-2011

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1508539792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13440 NC 210 HIGHWAY",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275047225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13440 NC 210 HIGHWAY",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275047225",
            "telephone_number": "919-207-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLISSIMO",
        "first_name": "MICHELLE",
        "middle_name": "SUTTON",
        "name_prefix": "Mrs.",
        "credential": "APRN FNP-BC FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BELLISSIMO",
            "middle_name": "SUTTON",
            "credential": "APRN FNP-BC FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Benson, NC

Sources for this page

Verify at the official NPI Registry.