ELIZABETH MELLOTT
NPI 1164923223
Nurse Practitioner - Family in Charlotte, NC
About Elizabeth Mellott NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH MELLOTT (NPI 1164923223) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5010325) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elizabeth Mellott 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.
Medicare Billing Reassignments
3Medicare enrollment records show Elizabeth Mellott reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
Pinehurst, NC 28374
- Reassigned Medicare billing, North Carolina enrollment
- 1,337 clinicians in this Medicare group
Zirconia, NC 28790
- Reassigned Medicare billing, North Carolina enrollment
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rex Hospital
Acute Care Hospitals · Raleigh, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHARLOTTE, NC 28202
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elizabeth Mellott's NPI number?
The NPI number for Elizabeth Mellott is 1164923223. It was assigned to this individual provider in the NPPES registry on February 23, 2018.
Where is Elizabeth Mellott located?
Elizabeth Mellott practices at 525 N Tryon St Ste 1600, Charlotte, NC 28202. The listed phone number is (866) 849-0692.
What is Elizabeth Mellott's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elizabeth Mellott enrolled in Medicare?
Yes. Elizabeth Mellott is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Elizabeth Mellott's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Mellott reassigns Medicare benefits to 3 organizations: (Concord, NC), Unc Physicians Network, LLC (Pinehurst, NC) and Devoted Medical Nc PC (Zirconia, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Mellott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Elizabeth Mellott affiliated with any hospitals?
According to CMS data, Elizabeth Mellott is affiliated with Rex Hospital.
When was this NPI record last updated?
The NPPES record for Elizabeth Mellott was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Elizabeth Mellott · NPI 1164923223
Family physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since February 23, 2018.
## Identity
- **NPI:** 1164923223 (Entity type: Individual)
- **Enumerated:** February 23, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5010325 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 525 N TRYON ST STE 1600, Charlotte, NC 28202-0213
- **Phone:** (866) 849-0692
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): (NPI 1952410110, Concord, NC); Unc Physicians Network, LLC (NPI 1396174363, Pinehurst, NC); Devoted Medical Nc PC (NPI 1295443554, Zirconia, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164923223) · Data from the CMS NPPES public registry.