Active NPI
Melissa Bitto Ulstad, PA-C
- Physician Assistant
- Wilmington, NC
National Provider Identifier
1891824702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102195
- Practice address
- 601 S College Rd
Wilmington, NC 28403-3201 - Phone
- (910) 962-3280
- Fax
- (910) 762-9558
- NPI assigned
- Mar 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102195 | NC | Primary |
| Medical Physician Assistant | 363AM0700X | 102195 | NC |
Addresses
Primary practice location
601 S College Rd
Wilmington, NC 28403-3201
Mailing address
601 S College Rd
Wilmington, NC 28403-3201
Phone (910) 962-3280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102195 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1891824702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284033201",
"telephone_number": "910-962-3280",
"fax_number": "910-962-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284033201",
"telephone_number": "910-962-3280",
"fax_number": "910-762-9558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULSTAD",
"first_name": "MELISSA",
"middle_name": "BITTO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102195",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "102195",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.