Active NPI
Nelsa A Ciapponi, M.D.
- Family Medicine Physician
- Charlotte, NC
National Provider Identifier
1689690968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0095-00862
- Practice address
- 3111 Springbank LN
Suite G
Charlotte, NC 28226-3372 - Phone
- (704) 540-3737
- Fax
- (704) 540-5866
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0095-00862 | NC | Primary |
Addresses
Primary practice location
3111 Springbank LN
Suite G
Charlotte, NC 28226-3372
Mailing address
3111 Springbank LN
Suite G
Charlotte, NC 28226-3372
Phone (704) 540-3737
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8922513 | Medicaid | NC | |
| 22513 | Other | NC | NCBCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 6, 2012 through Dec 6, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0095-00862 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Atrium Health Primary Care Ardrey Kell Family Medicine
- Family Medicine Physician
- Charlotte, NC
- NPI 1649201146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286496000000",
"number": "1689690968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 SPRINGBANK LN",
"address_2": "SUITE G",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282263372",
"telephone_number": "704-540-3737",
"fax_number": "704-540-5866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 SPRINGBANK LN",
"address_2": "SUITE G",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282263372",
"telephone_number": "704-540-3737",
"fax_number": "704-540-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIAPPONI",
"first_name": "NELSA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2010-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "0095-00862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8922513",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBCBS",
"identifier": "22513",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Nicole A. Church, BCBA
- Kimberly Ann Churchill, PA-C
- David Anthony Ciaccia, DO
- Augusto Jorge Cianciabella, P.A.
- Jennifer Dehaven Cianciolo, LCSW
- Joseph Ciccarello, PHARM.D., M.B.A.
- Julia Cichowitz, MSW, LCSWA
- Ciepcielinski Counseling, PLLC
- Emily Chubb Ciepcielinski, PH.D., LPC
- Nicole M Cieslak, CST/CFA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.