Individual provider Active NPI

Melissa Danner, AGPCNP-BC

  • Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1518528512
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22963 Issued in SC
Practice address
127 Commons Way
Greenville, SC 29611-3850
Phone
(864) 970-2273
Fax
(864) 383-6258
NPI assigned
Jun 21, 2019
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 22963 SC Primary

Addresses

Primary practice location

127 Commons Way
Greenville, SC 29611-3850

Mailing address

109 Carter Park Dr Ste 3a
Seneca, SC 29678-1152
Phone (864) 885-0058

Other practice location 1

322 Watson Rd
Travelers Rest, SC 29690-2221
Phone (864) 346-7365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20191002003961 SC Practitioner - Nurse Practitioner 3779813845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Itrust Cares LLCGroup PAC ID 5092189712, 8 clinicians

Practice addresses (Care Compare)

127 Commons Way
Greenville, SC 29611-3850
Phone (864) 970-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22963SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Itrust Cares LLC CurrentSince Mar 22, 2023 Accepting new patients
Itrust Wellness Group CurrentSince Oct 7, 2019 Accepting new patients
Medi Urgent Care Center Inc PastSince Sep 20, 2022 Accepting new patients
Keowee Primary Care & Internal Medicine PC PastSince Sep 20, 2022 Accepting new patients

Locations

121 Commons Way
Greenville, SC 29611

127 Commons Way
Greenville, SC 29611
Phone (864) 416-4560

149 Commons Way
Greenville, SC 29611

Organizations & group practices 4

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1518528512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CARTER PARK DR STE 3A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781152",
            "telephone_number": "864-885-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 COMMONS WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296113850",
            "telephone_number": "864-970-2273",
            "fax_number": "864-383-6258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 Watson Rd",
            "address_purpose": "LOCATION",
            "city": "Travelers Rest",
            "state": "SC",
            "postal_code": "296902221",
            "country_code": "US",
            "telephone_number": "864-346-7365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANNER",
        "first_name": "MELISSA",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "22963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.