Individual provider Active NPI

Melissa Sue Hergert

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1982479069
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5019855 Issued in NC
Practice address
2010 Baldwin LN
Winston Salem, NC 27103-5846
Phone
(336) 277-1717
Fax
(336) 277-1718
NPI assigned
Nov 20, 2023
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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 5019855 NC Primary
Family Nurse Practitioner 363LF0000X HERG-6GVXT NC

Addresses

Primary practice location

2010 Baldwin LN
Winston Salem, NC 27103-5846

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other practice location 1

1334 Ray Suggs Pl NW
Concord, NC 28027-4308
Phone (843) 810-7363

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
I20240620000266 NC Practitioner - Nurse Practitioner 4183167067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

2010 Baldwin LN
Winston Salem, NC 27103-5846
Phone (336) 277-1717

7210 Village Medical Cir
Suite 225
Clemmons, NC 27012-8035
Phone (336) 893-3080

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5019855NCMDNurse Practitioner
HERG-6GVXTNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Forsyth Memorial Hospital Inc CurrentSince Jun 22, 2024 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 22, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 22, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jun 22, 2024 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

584 Hospital Dr NE
Unit D
Bolivia, NC 28422
Phone (910) 721-4150

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

7210 Village Medical Cir
Ste 225
Clemmons, NC 27012
Phone (336) 245-2100

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

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

140 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 245-2100

2010 Baldwin Ln
Winston Salem, NC 27103
Phone (336) 277-1717

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

Interoperability endpoints

  • Direct secure messaging: mhergert1467094@direct.novanthealth.org

Organizations & group practices 7

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 2

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1982479069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BALDWIN LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035846",
            "telephone_number": "336-277-1717",
            "fax_number": "336-277-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1334 Ray Suggs Pl NW",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280274308",
            "country_code": "US",
            "telephone_number": "843-810-7363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERGERT",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5019855",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "HERG-6GVXT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.