Individual provider Active NPI

Melisa Wallace Perry, FNP-C

  • Family Nurse Practitioner
  • Burlington, NC
National Provider Identifier
1669025763
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012013 Issued in NC
Practice address
1737 Whites Kennel Road
Burlington, NC 27215
Phone
(336) 395-3219
Fax
(336) 419-0498
NPI assigned
Jul 18, 2019
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012013 NC
Family Nurse Practitioner 363LF0000X 5012013 NC Primary

Addresses

Primary practice location

1737 Whites Kennel Road
Burlington, NC 27215

Mailing address

1737 Whites Kennel Road
Burlington, NC 27215
Phone (336) 395-3219

Other practice location 1

9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone (952) 936-6666

Other practice location 2

9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone (952) 936-6666

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
I20190927001040 NC Practitioner - Nurse Practitioner 6406186881 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5012013NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Healthcare Systems, LLC CurrentSince Oct 1, 2021 Accepting new patients
American Healthcare Systems, LLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

124 N Park St
Asheboro, NC 27203
Phone (336) 625-1007

218 Foust St
Ste C
Asheboro, NC 27203
Phone (336) 625-2333

237 N Fayetteville St
Ste A
Asheboro, NC 27203
Phone (336) 625-3248

525 W Swannanoa Ave
Liberty, NC 27298
Phone (336) 622-4850

514 N Broad St
Seagrove, NC 27341
Phone (336) 873-8045

Interoperability endpoints

  • Direct secure messaging: melisa.perry.1@14940.direct.athenahealth.com

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, 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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1669025763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 WHITES KENNEL ROAD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27215",
            "telephone_number": "336-395-3219",
            "fax_number": "336-419-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 WHITES KENNEL ROAD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27215",
            "telephone_number": "336-395-3219",
            "fax_number": "336-419-0498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9900 Bren Rd E",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553439664",
            "country_code": "US",
            "telephone_number": "952-936-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9900 Bren Rd E",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553439664",
            "country_code": "US",
            "telephone_number": "952-936-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MELISA",
        "middle_name": "WALLACE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2026-09-02",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012013",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.