Individual provider Active NPI

Melissa Shea O'Sullivan, MSN,FNP,APRN,BC

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1710990205
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200101362 Issued in NC
Practice address
520 N Elam Ave
Greensboro, NC 27403-1127
Phone
(336) 547-1700
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200101362 NC Primary

Addresses

Primary practice location

520 N Elam Ave
Greensboro, NC 27403-1127

Mailing address

PO Box 890195
Charlotte, NC 28289-0195
Phone (336) 547-1862

Other practice location 1

2630 Willard Dairy Rd Ste 200
High Point, NC 27265-8351
Phone (336) 884-3800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mosullivan17387@direct.conehealth.com Direct

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
I20061214000409 NC Practitioner - Nurse Practitioner 5193724490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Columbia University College of Physicians and Surgeons, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

2630 Willard Dairy Rd
Suite 200
High Point, NC 27265-8351
Phone (336) 884-3800

520 N Elam Ave
Greensboro, NC 27403-1127
Phone (336) 547-1700

940 Golf House CT E
Whitsett, NC 27377-9296
Phone (336) 449-9848

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Medical Services, Inc. CurrentSince Oct 11, 2010 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Oct 11, 2010 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Past Accepting new patients
Reidsville Community Physicians Inc Past Accepting new patients

Locations

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

520 N Elam Ave
Greensboro, NC 27403
Phone (336) 475-7148

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

2630 Willard Dairy Rd
Ste 200
High Point, NC 27265
Phone (336) 884-3800

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Interoperability endpoints

  • Direct secure messaging: mosullivan17387@direct.conehealth.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 1

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1710990205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890195",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890195",
            "telephone_number": "336-547-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N ELAM AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031127",
            "telephone_number": "336-547-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2630 Willard Dairy Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272658351",
            "country_code": "US",
            "telephone_number": "336-884-3800",
            "fax_number": "336-884-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "MELISSA",
        "middle_name": "SHEA",
        "credential": "MSN,FNP,APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200101362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mosullivan17387@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2630 Willard Dairy Rd Ste 200",
            "city": "High Point",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272658351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.