Individual provider Active NPI

Donna Jean Marinelli, NP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1679505192
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
800157 Issued in NC
Practice address
4815 Johnston Oehler Rd
Ste 200
Charlotte, NC 28269-1065
Phone
(704) 801-7410
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 800157 NC
Nurse Practitioner 363L00000X 800157 NC Primary

Addresses

Primary practice location

4815 Johnston Oehler Rd
Ste 200
Charlotte, NC 28269-1065

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

13620 Reese Blvd E
Ste 100
Huntersville, NC 28078-6417
Phone (704) 801-7330

Other practice location 2

150 Professional Park Dr
Ste 200
Mooresville, NC 28117-5603
Phone (704) 801-7370

Other practice location 3

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277-3372
Phone (704) 667-2650

Other practice location 4

9726 Sam Furr Rd
Huntersville, NC 28078-8218
Phone (704) 801-3310

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
I20161228001127 NC Practitioner - Nurse Practitioner 4789965070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health North Market Network LLCGroup PAC ID 1557743440, 158 clinicians

Practice addresses (Care Compare)

4525 Cameron Valley Pkwy
Suite 4100D
Charlotte, NC 28211-4369
Phone (980) 402-1800

4815 Johnston Oehler Rd
Charlotte, NC 28269-1065

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
800157NCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Health North Market Network LLC CurrentSince Jul 1, 2022 Accepting new patients
Carolinas Physicians Network Inc CurrentSince May 11, 2020 Accepting new patients
Carolinas Physicians Network Inc CurrentSince May 11, 2020 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients

Locations

4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310

4815 Johnston Oehler Rd
#200
Charlotte, NC 28269
Phone (704) 801-7410

10320 Mallard Creek Rd
Ste 260A
Charlotte, NC 28262
Phone (704) 801-7330

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

9726 Sam Furr Rd
Huntersville, NC 28078
Phone (704) 801-3310

13620 Reese Blvd E
Ste 100
Huntersville, NC 28078
Phone (704) 801-7330

13620 Reese Blvd E
Ste 110
Huntersville, NC 28078
Phone (423) 343-7036

150 Professional Park Dr
Ste 200
Mooresville, NC 28117
Phone (704) 799-2233

123 Professional Park Dr
Ste 200
Mooresville, NC 28117
Phone (423) 343-7016

Interoperability endpoints

  • Direct secure messaging: dmarinelli833196@carolinashealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1679505192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 JOHNSTON OEHLER RD",
            "address_2": "STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691065",
            "telephone_number": "704-801-7410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13620 Reese Blvd E",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280786417",
            "country_code": "US",
            "telephone_number": "704-801-7330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Professional Park Dr",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281175603",
            "country_code": "US",
            "telephone_number": "704-801-7370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14214 Ballantyne Lake Rd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282773372",
            "country_code": "US",
            "telephone_number": "704-667-2650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9726 Sam Furr Rd",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280788218",
            "country_code": "US",
            "telephone_number": "704-801-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINELLI",
        "first_name": "DONNA",
        "middle_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-07-15",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "800157",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "800157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.