Individual provider Active NPI

Melissa Ann Altamirano, FNP

  • Family Nurse Practitioner
  • Clyde, NC
National Provider Identifier
1760834808
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015886 Issued in NC
Practice address
490 Hospital Dr
Clyde, NC 28721-8026
Phone
(828) 692-4289
NPI assigned
Jul 12, 2016
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131277 TX
Family Nurse Practitioner 363LF0000X 5015886 NC Primary
Registered Nurse 163W00000X 830190 TX
Registered Nurse 163W00000X 341924 NC

Addresses

Primary practice location

490 Hospital Dr
Clyde, NC 28721-8026

Mailing address

220 5TH Ave E
Hendersonville, NC 28792-4377
Phone (828) 692-4289

Other practice location 1

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

Other names 1

  • Melissa Champion Former name

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
I20220330000659 NC Practitioner - Nurse Practitioner 2769778463 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Community Health Services, Inc.Group PAC ID 3173434743, shared by 22 NPIs, 95 clinicians

Practice addresses (Care Compare)

161 Walker St
Columbus, NC 28722-9433
Phone (828) 894-2222

209 Hospital Dr
Highlands, NC 28741-7623
Phone (828) 482-6160

2579 Chimney Rock Rd
Hendersonville, NC 28792-9181
Phone (828) 692-4289

264 Hwy 19 S
Suite 4
Bryson City, NC 28713-1134
Phone (828) 341-1060

293 Hospital Rd
Suite C
Sylva, NC 28779-5195
Phone (828) 477-4334

490 Hospital Dr
Clyde, NC 28721-8026
Phone (828) 692-4289

60 Gerber Rd
Suite 100
Asheville, NC 28803-2983
Phone (828) 233-2225

628 7TH Ave E
Hendersonville, NC 28792-3801
Phone (828) 696-8263

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
341924NCMDRegistered Nurse
830190TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Community Health Services, Inc. CurrentSince May 1, 2022 Accepting new patients
Blue Ridge Community Health Services, Inc. Current Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince May 1, 2022 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince May 1, 2022 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince May 1, 2022 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince May 1, 2022 Accepting new patients
Blue Ridge Community Health Services Inc. CurrentSince May 1, 2022 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince May 1, 2022 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince May 1, 2022 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince May 1, 2022 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince May 1, 2022 Accepting new patients
Blue Ridge Community Health Services Inc Current Accepting new patients

Locations

303 Airport Rd
Arden, NC 28704
Phone (828) 698-2979

29 W French Broad St
Ste 202
Brevard, NC 28712
Phone (828) 883-5550

69 N Broad St
Brevard, NC 28712
Phone (828) 883-2708

264 Highway 19 S
Ste 4
Bryson City, NC 28713
Phone (828) 341-1060

490 Hospital Dr
Clyde, NC 28721
Phone (828) 246-6372

161 Walker St
Columbus, NC 28722
Phone (828) 894-2222

674 Highlands Rd
Franklin, NC 28734
Phone (828) 349-0001

110 Chadwick Square Ct
Ste A
Hendersonville, NC 28739
Phone (828) 617-9122

110 Chadwick Square Ct
Ste C
Hendersonville, NC 28739
Phone (828) 698-8135

220 5th Ave E
Hendersonvlle, NC 28792
Phone (828) 337-3372

2579 Chimney Rock Rd
Hendersonvlle, NC 28792
Phone (828) 692-3106

628 7th Ave E
Hendersonvlle, NC 28792
Phone (828) 696-8263

709 N Justice St
Ste B
Hendersonvlle, NC 28791
Phone (828) 696-1255

209 Hospital Dr
Highlands, NC 28741
Phone (828) 482-6160

146 Nesbitt Rdg
Lake Lure, NC 28746
Phone (828) 625-4400

187 W Main St
Spindale, NC 28160
Phone (828) 288-2881

293 Hospital Rd
Sylva, NC 28779
Phone (828) 477-4334

293 Hospital Rd
Ste B
Sylva, NC 28779
Phone (828) 631-8711

293 Hospital Rd
Ste C
Sylva, NC 28779
Phone (828) 477-4334

44 Bonnie Ln
Sylva, NC 28779
Phone (828) 586-5501

131 Walnut St
Waynesville, NC 28786
Phone (828) 456-8604

307 Broadview Rd
Waynesville, NC 28786
Phone (828) 452-9258

Organizations & group practices 12

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.

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1760834808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 5TH AVE E",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287924377",
            "telephone_number": "828-692-4289",
            "fax_number": "828-696-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 HOSPITAL DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218026",
            "telephone_number": "828-692-4289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Providence Dr",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767072261",
            "country_code": "US",
            "telephone_number": "254-313-4200",
            "fax_number": "254-313-4531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTAMIRANO",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131277",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015886",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "830190",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "341924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CHAMPION",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.