Individual provider Active NPI

Michelle Cardona, FNP

  • Family Nurse Practitioner
  • Belmont, NC
National Provider Identifier
1992586689
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5019021 Issued in NC
Practice address
1212 Spruce St
Belmont, NC 28012-3385
Phone
(980) 834-8800
Fax
(980) 834-9879
NPI assigned
Oct 10, 2023
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28582 SC
Family Nurse Practitioner 363LF0000X 5019021 NC Primary

Addresses

Primary practice location

1212 Spruce St
Belmont, NC 28012-3385

Mailing address

PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450

Other practice location 1

1201 Village Harbor Dr Ste 104
Lake Wylie, SC 29710-9276
Phone (803) 831-6859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20240521000524 NC Practitioner - Nurse Practitioner 8224470497 Reassigns benefits to 1 organization
I20240911003526 SC Practitioner - Nurse Practitioner 8224470497 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28582SCMDPediatrics Physician
5019021NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group, Inc. CurrentSince Apr 24, 2024 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Caromont Medical Group Inc CurrentSince Apr 24, 2024 Accepting new patients
Carolina Advanced Wellness, PLLC Past Accepting new patients
Southeast North Carolina Seven Medical Group, PLLC Past Accepting new patients
Carolina Essential Wellness PastSince Feb 11, 2024 Accepting new patients

Locations

1212 Spruce St
Belmont, NC 28012
Phone (704) 825-5677

1223 Spruce St
Belmont, NC 28012
Phone (704) 316-2150

910 E Church St
Ste A
Cherryville, NC 28021
Phone (704) 445-0422

600 W Trade St
Dallas, NC 28034
Phone (980) 834-9130

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

1200 Village Harbor Dr
Ste D
Lake Wylie, SC 29710
Phone (704) 671-6400

1201 Village Harbor Dr
Ste 104
Lake Wylie, SC 29710
Phone (803) 831-6859

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, 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": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1992586689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SPRUCE ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123385",
            "telephone_number": "980-834-8800",
            "fax_number": "980-834-9879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Village Harbor Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lake Wylie",
            "state": "SC",
            "postal_code": "297109276",
            "country_code": "US",
            "telephone_number": "803-831-6859",
            "fax_number": "803-831-6860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28582",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

Verify at the official NPI Registry.