Michelle Cardona, FNP
Individual provider Active NPI Family Nurse Practitioner · Belmont, NC
NPI 1992586689 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1992586689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5019021 (NC)
- Practice address
- 1212 Spruce St
Belmont, NC 28012-3385 - Phone
- (980) 834-8800
- Fax
- (980) 834-9879
- NPI assigned
- Oct 10, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28582 | SC | MD | Pediatrics Physician |
| 5019021 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caromont Medical Group, Inc. | Current |
Accepting new patients | |
| Caromont Medical Group Inc | Current |
Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group, Inc. | Current |
Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Carolina Advanced Wellness, PLLC | Past | Accepting new patients | |
| Carolina Essential Wellness | Past |
Accepting new patients | |
| Southeast North Carolina Seven Medical Group, PLLC | Past | 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
1201 Village Harbor Dr
Ste 104
Lake Wylie, SC 29710
Phone (803) 831-6859
1200 Village Harbor Dr
Ste D
Lake Wylie, SC 29710
Phone (704) 671-6400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28582 | SC | |
| Family Nurse Practitioner | 363LF0000X | 5019021 | NC | Yes |
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
Other providers in Belmont, NC
- Ashley Buraglio
- Madison Burris Burzlaff
- Llana D Call Smith
- Linda Camarda
- Judi Campbell
- Madison Faith Cardwell
- Louise Salalila Carlos
- Lisa Marshall Carlyle
- Carolina Chiropractic Group of Belmont PLLC
- Carolina Homecare Group, LLC
All providers in Belmont, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.