Melanie McNeely Boatwright, GNP
Individual provider Active NPI Gerontology Nurse Practitioner · Greensboro, NC
NPI 1740296557 · NPPES record last updated May 19, 2014
Key facts
- NPI
- 1740296557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 600135 (NC)
- Practice address
- 3803 N. Elm St.
Greensboro, NC 27455 - Phone
- (828) 550-6278
- Fax
- (336) 540-6156
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080404000559 | NC | Practitioner - Nurse Practitioner | 9638256332 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of North Carolina, PC | Current |
Accepting new patients | |
| Inpatient Consultants of North Carolina, PC | Current |
Accepting new patients | |
| NM Pacs 2 LLC | Current |
Accepting new patients | |
| CS Pacs 3 Southeast, LLC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 600135 | NC | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000434 | Medicaid | NC |
Other providers in Greensboro, NC
- Blueprint Technologies, Inc
- Blumenthal Operator LLC
- Graham Davis Blust
- Maria Barton Blust
- Brittni Nicole Bly
- Karen M. Flesner Bobalik
- Bobbie L. Bingham, Ma, LPC, PLLC
- Fredric Jon Bobroff
- Marioara Cismas Bodea
- Charles Andrew Bodenheimer
All providers in Greensboro, NC · Gerontology Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.