Individual provider Active NPI

Vanessa Madden-Gilyard, FNP-BC

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1639500481
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5022971 Issued in NC
Practice address
1981 J N Pease PL Ste 103
Charlotte, NC 28262-4529
Phone
(980) 369-6902
Fax
(980) 406-0185
NPI assigned
Dec 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 5022971 NC Primary

Addresses

Primary practice location

1981 J N Pease PL Ste 103
Charlotte, NC 28262-4529

Mailing address

10421 Kempsford Dr
Charlotte, NC 28262-2718
Phone (980) 433-0517

Other identifiers 1

IdentifierTypeStateIssuer
667652-1OtherNYLICENSE NUMBER

Other names 1

  • Vanessa Wallace 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
I20260311002676 NC Practitioner - Nurse Practitioner 5799268447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10421 Kempsford Dr
Charlotte, NC 28262-2718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5022971NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Single Specialty CurrentSince Feb 4, 2026 Accepting new patients
Skin Invy Hydration and Wellness PLLC Single Specialty CurrentSince Feb 2, 2026 Accepting new patients

Locations

1981 J N Pease Pl
Ste 103
Charlotte, NC 28262
Phone (704) 598-5446

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1639500481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 KEMPSFORD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622718",
            "telephone_number": "980-433-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 J N PEASE PL STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624529",
            "telephone_number": "980-369-6902",
            "fax_number": "980-406-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN-GILYARD",
        "first_name": "VANESSA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "667652-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "WALLACE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.