Individual provider Active NPI

Melanie McNeely Boatwright, GNP

  • Gerontology Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1740296557
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
600135 Issued in NC
Practice address
3803 N. Elm St.
Greensboro, NC 27455
Phone
(828) 550-6278
Fax
(336) 540-6156
NPI assigned
Aug 1, 2006
Last updated
May 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 600135 NC Primary

Addresses

Primary practice location

3803 N. Elm St.
Greensboro, NC 27455

Mailing address

3803 N Elm St
Greensboro, NC 27455-2593
Phone (828) 550-6278

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
I20080404000559 NC Practitioner - Nurse Practitioner 9638256332 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southeast, LLC CurrentSince Jun 23, 2025 Accepting new patients
NM Pacs 2 LLC CurrentSince Jun 23, 2025 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Jun 23, 2025 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Jun 23, 2025 Accepting new patients
Senior Health Connection Past Accepting new patients

Locations

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

179 Combs St
Sparta, NC 28675
Phone (336) 372-2441

Organizations & group practices 5

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1740296557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552593",
            "telephone_number": "828-550-6278",
            "fax_number": "336-540-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 N. ELM ST.",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27455",
            "telephone_number": "828-550-6278",
            "fax_number": "336-540-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATWRIGHT",
        "first_name": "MELANIE",
        "middle_name": "MCNEELY",
        "name_prefix": "Mrs.",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "600135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.