Individual provider Active NPI

Melanie McKinstry Morrison, PMHNP-BC

  • Nurse Practitioner
  • Chapin, SC
National Provider Identifier
1992348395
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
23380 Issued in SC
Practice address
2101 Dutch Fork Rd
Chapin, SC 29036-7576
Phone
(910) 742-9243
Fax
(888) 746-1787
NPI assigned
Oct 18, 2019
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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 23380 SC Primary
Registered Nurse 163W00000X 230436 SC

Addresses

Primary practice location

2101 Dutch Fork Rd
Chapin, SC 29036-7576

Mailing address

407 Lifesprings CT
Simpsonville, SC 29681-6904
Phone (864) 684-2381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20200121002617 SC Practitioner - Nurse Practitioner 1254766223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifesource of North CarolinaGroup PAC ID 7416132428, 172 clinicians
Lifesource Prime IncGroup PAC ID 7810336385, 52 clinicians

Practice addresses (Care Compare)

939 Springdale Dr
Clinton, SC 29325-7266
Phone (910) 742-9243

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
230436SCMDRegistered Nurse
23380SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesource Prime Inc CurrentSince Nov 15, 2025 Accepting new patients
Lifesource of North Carolina Nurse Practitioner CurrentSince Oct 1, 2019 Accepting new patients
Lifesource Prime Inc Nurse Practitioner CurrentSince Nov 15, 2025 Accepting new patients
Lifesource of North Carolina Nurse Practitioner CurrentSince Oct 1, 2019 Accepting new patients

Locations

1915 Ebenezer Rd
Rock Hill, SC 29732
Phone (305) 866-9951

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1992348395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LIFESPRINGS CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296816904",
            "telephone_number": "864-684-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 DUTCH FORK RD",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290367576",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "MELANIE",
        "middle_name": "MCKINSTRY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "23380",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "230436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapin, SC

Sources for this page

Verify at the official NPI Registry.