Individual provider Active NPI

Melanee Tomasulo, AGCNS

  • Clinical Nurse Specialist
  • Cary, NC
National Provider Identifier
1780346478
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
534 Issued in NC
Practice address
300 Keisler Dr Ste 204
Cary, NC 27518-7083
Phone
(919) 233-0059
Fax
(919) 233-0343
NPI assigned
Oct 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 534 NC Primary

Addresses

Primary practice location

300 Keisler Dr Ste 204
Cary, NC 27518-7083

Mailing address

6129 Catandpolly LN
Raleigh, NC 27603-1182
Phone (919) 622-7301

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
I20220218000312 NC Practitioner - Certified Clinical Nurse Specialist (CNS) 9133513047 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group, LLC Current Accepting new patients
Cary Cardiology Associates Current Accepting new patients
Wakemed Specialists Group LLC CurrentSince Oct 1, 2024 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

1 Medical Dr
Benson, NC 27504
Phone (919) 207-1027

300 Keisler Dr
Cary, NC 27518
Phone (919) 230-4434

300 Keisler Dr
Ste 204
Cary, NC 27518
Phone (919) 233-0059

400 Attain St
Ste 101
Fuquay Varina, NC 27526
Phone (919) 233-0059

400 Attain St
Fuquay Varina, NC 27526
Phone (984) 377-8675

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1780346478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6129 CATANDPOLLY LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031182",
            "telephone_number": "919-622-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KEISLER DR STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187083",
            "telephone_number": "919-233-0059",
            "fax_number": "919-233-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASULO",
        "first_name": "MELANEE",
        "credential": "AGCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NC",
            "license": "534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.