Individual provider Active NPI

Melissa Ann Ridings, PNP

  • Nurse Practitioner
  • Kernersville, NC
National Provider Identifier
1942769161
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011594 Issued in NC
Practice address
240 Broad St
Kernersville, NC 27284-2930
Phone
(336) 993-8333
Fax
(336) 993-5144
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011594 NC Primary
Pediatric Nurse Practitioner 363LP0200X RIDI-HNOA0S NC

Addresses

Primary practice location

240 Broad St
Kernersville, NC 27284-2930

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1919 N Bridge St
Elkin, NC 28621-2105
Phone (336) 835-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205001821 NC Practitioner - Nurse Practitioner 5193151413 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5011594NCMDNurse Practitioner
RIDI-HNOA0SNCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Community Health CurrentSince May 16, 2019 Accepting new patients
High Country Community Health CurrentSince May 16, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
High Country Community Health CurrentSince May 16, 2019 Accepting new patients
Novant Health Medical Group LLC Pediatrics CurrentSince May 27, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 27, 2023 Accepting new patients
Capstone Wellness Center PastSince Jan 1, 2024 Accepting new patients
Kids Count Pediatrics, PLLC Past Accepting new patients

Locations

160 Den-Mac Dr
Boone, NC 28607
Phone (828) 262-3886

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

1925 N Bridge St
#101
Elkin, NC 28621
Phone (336) 835-5330

110 Dutchman Ct
Elkin, NC 28621
Phone (336) 835-5330

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: mridings443430@direct.novanthealth.org

Organizations & group practices 8

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1942769161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 BROAD ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842930",
            "telephone_number": "336-993-8333",
            "fax_number": "336-993-5144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 N Bridge St",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286212105",
            "country_code": "US",
            "telephone_number": "336-835-7337",
            "fax_number": "336-835-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDINGS",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011594",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "RIDI-HNOA0S",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.