CATHLEEN MEDELLIN
NPI 1154891646
Nurse Practitioner - Family in Durham, NC

Q: What is Cathleen Medellin's NPI number?

The NPI number for Cathleen Medellin is 1154891646. It was assigned to this individual provider in the NPPES registry on November 28, 2018.

Q: What is Cathleen Medellin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Cathleen Medellin was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 28, 2018PECOS EnrolledAccepts Medicare Assignment

5306 NC HIGHWAY 55 STE 105, DURHAM, NC 27713(337) 991-9276 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2025, Nov 28, 2018 (2 updates tracked since 2018).

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About Cathleen Medellin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CATHLEEN MEDELLIN (NPI 1154891646) is an individual family provider in Durham, North Carolina, licensed in North Carolina (5014339) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154891646

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCATHLEEN MEDELLIN

Location Address5306 NC HIGHWAY 55 STE 105Durham, NC 27713-7812

Mailing Address5750 Johnston St Ste 205Lafayette, LA 70503-5345 · (337) 991-9276

Phone(337) 991-9276

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 28, 2018

Last NPPES UpdateMay 9, 20252 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1154891646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NC · 5014339✔ Licensed in OH · CNP.023787

5306 NC HIGHWAY 55 STE 105, Durham, NC 27713

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Secondary Practice Location 1

Location 11585 Georgesville Square DrColumbus, OH 43228-3777 · Phone (614) 335-0030

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cathleen Medellin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729323241

PECOS Enrollment IDI20241206000205

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

142 services83 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

26 services26 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

24 services24 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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