Active NPI
Melissa Holden, ACNP-BC
- Acute Care Nurse Practitioner
- Southport, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 5007932
- Practice address
- 1517 N Howe St Ste 12
Southport, NC 28461 - Phone
- (910) 457-9684
- NPI assigned
- Jan 28, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 5007932 | NC | Primary |
Addresses
Primary practice location
1517 N Howe St Ste 12
Southport, NC 28461
Mailing address
PO Box 896206
Charlotte, NC 28289-6206
Phone (252) 635-6777
Other practice location 1
1001 Newman Rd
New Bern, NC 28562-5253
Phone (252) 635-6777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Atlanta, GA 30374
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5007932 | NC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southport Pulmonary Medicine, PLLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Professional Emergency Care, PC | Past | Accepting new patients | |
| Pocono Cardiology Associates, PC | Past | Accepting new patients |
Locations
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
1517 N Howe St
Ste 12
Southport, NC 28461
Phone (910) 457-9684
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75473
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 and National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Southport, NC
- NPI 1982839015
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Cardiovascular Disease Physician
- East Stroudsburg, PA
- NPI 1639216088
-
- Emergency Medicine Physician
- Honesdale, PA
- NPI 1861671091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1750612974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 896206",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282896206",
"telephone_number": "252-635-6777",
"fax_number": "252-634-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 N HOWE ST STE 12",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "28461",
"telephone_number": "910-457-9684"
}
],
"practiceLocations": [
{
"address_1": "1001 Newman Rd",
"address_purpose": "LOCATION",
"city": "New Bern",
"state": "NC",
"postal_code": "285625253",
"country_code": "US",
"telephone_number": "252-635-6777",
"fax_number": "252-634-3183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLDEN",
"first_name": "MELISSA",
"credential": "ACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-28",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NC",
"license": "5007932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.