Individual provider Active NPI

Michaela Lynne Szeinuk, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1982213765
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10425 Issued in NC
Practice address
9541 Kings Parade Blvd Unit 107
Charlotte, NC 28273-5819
Phone
(845) 649-2336
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 0010-10425 NC Primary

Addresses

Primary practice location

9541 Kings Parade Blvd Unit 107
Charlotte, NC 28273-5819

Mailing address

9541 Kings Parade Blvd Unit 107
Charlotte, NC 28273-5819
Phone (845) 649-2336

Other practice location 1

2400 South Blvd Ste 200
Charlotte, NC 28203-5773
Phone (704) 774-3024

Other names 1

  • Miss Michaela Lynne McBride Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200921001296 SC Practitioner - Physician Assistant 5395163562 Reassigns benefits to 1 organization
I20230509001962 NC Practitioner - Physician Assistant 5395163562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2023 Accepting new patients
Broken Better Urgent Care LLC PastSince Mar 1, 2024 Accepting new patients

Locations

5370 Ridge Rd
Charlotte, NC 28269
Phone (704) 316-1491

2400 South Blvd
Ste 200
Charlotte, NC 28203
Phone (704) 316-3017

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

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

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

Interoperability endpoints

  • Direct secure messaging: michaela.mcbride.1@22263.direct.athenahealth.com
  • Direct secure messaging: mmcbride1108142@direct.novanthealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1982213765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9541 KINGS PARADE BLVD UNIT 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735819",
            "telephone_number": "845-649-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9541 KINGS PARADE BLVD UNIT 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735819",
            "telephone_number": "845-649-2336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 South Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035773",
            "country_code": "US",
            "telephone_number": "704-774-3024",
            "fax_number": "704-774-3025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZEINUK",
        "first_name": "MICHAELA",
        "middle_name": "LYNNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELA",
            "last_name": "MCBRIDE",
            "middle_name": "LYNNE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.