Individual provider Active NPI

Megan Marie Calamusa, NP-C

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1578061065
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5010218 Issued in NC
Practice address
125 Queens Rd Ste 520
Charlotte, NC 28204-3512
Phone
(980) 302-6500
Fax
(980) 302-6505
NPI assigned
Jan 30, 2018
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5010218 NC
Nurse Practitioner 363L00000X 5010218 NC Primary

Addresses

Primary practice location

125 Queens Rd Ste 520
Charlotte, NC 28204-3512

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1718 E 4th St Ste 707
Charlotte, NC 28204-3282
Phone (704) 316-4485

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcalamusa422167@direct.novanthealth.org The Presbyterian Hospital

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
I20180608002171 NC Practitioner - Nurse Practitioner 0840545174 Reassigns benefits to 2 organizations

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
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Charlotte, NC 28204-3215

125 Queens Rd
Suite 430
Charlotte, NC 28204-3579
Phone (980) 302-6700

1718 E 4TH St
Suite 105
Charlotte, NC 28204-3193
Phone (704) 384-6478

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-9073

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Current Accepting new patients
Novant Medical Group Inc CurrentSince Feb 1, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
The Presbyterian Hospital CurrentSince Feb 1, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2019 Accepting new patients
The Presbyterian Hospital CurrentSince Feb 1, 2019 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

125 Queens Rd
Ste 520
Charlotte, NC 28204
Phone (980) 302-6500

1718 E 4th St
Ste 105
Charlotte, NC 28204
Phone (704) 384-5373

1718 E 4th St
Ste 707
Charlotte, NC 28204
Phone (704) 316-4485

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

7108 Pineville Matthews Rd
Ste 102
Charlotte, NC 28226
Phone (704) 342-1900

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: mcalamusa422167@direct.novanthealth.org

Organizations & group practices 7

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 5

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": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1578061065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 QUEENS RD STE 520",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043512",
            "telephone_number": "980-302-6500",
            "fax_number": "980-302-6505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 E 4th St Ste 707",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043282",
            "country_code": "US",
            "telephone_number": "704-316-4485",
            "fax_number": "704-316-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALAMUSA",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010218",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcalamusa422167@direct.novanthealth.org",
            "affiliation": "Y",
            "affiliationName": "The Presbyterian Hospital",
            "address_1": "125 Queens Rd Ste 520",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.