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ANNE COLLEEN SCHMELZER MSN, RN, CPNP-PC
NPI 1376110262
Nurse Practitioner - Pediatrics in Durham, NC

Active since June 08, 2021PECOS Enrolled
2301 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anne Colleen Schmelzer Msn, Rn, Cpnp-pc NPPES

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

ANNE COLLEEN SCHMELZER MSN, RN, CPNP-PC (NPI 1376110262) is an individual pediatrics provider in Durham, North Carolina, licensed in North Carolina (5014520) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376110262
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameANNE COLLEEN SCHMELZERCredential: MSN, RN, CPNP-PC
Location Address2301 ERWIN RDDurham, NC 27705-4699
Mailing Address2301 Erwin RdDurham, NC 27705-4699 · (919) 684-8111
Phone(919) 684-8111
Sole ProprietorNo
Enumeration DateJune 8, 2021
NPPES CertifiedJune 8, 2021
✔ NPI 1376110262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NC · 5014520
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 258583 (NC)
2301 ERWIN RD, Durham, NC 27705
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anne Colleen Schmelzer Msn, Rn, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Anne Schmelzer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duke University Health System, Inc.
0.2 mi
Social Worker
2213 ELBA ST
Durham, NC 27705
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,503 clinicians in this Medicare group
NPI 1497912232 (919) 684-0100
Duke Health Integrated Practice, Inc.
0.2 mi
General Practice
40 DUKE MEDICINE CIR
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1205553369 (919) 620-4855

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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.

DR. HONGYUN JUNE ZHU M.D.
Radiology (Diagnostic Radiology)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
WILBUR RIGEL DATTILO M.D.
Psychiatry & Neurology (Psychiatry)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
DR. SHARON MCCARTNEY M.D.
Anesthesiology
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 681-3811
DR. JOEL GARRY MORASH M.D.
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
REBEKAH DOIRON
Nurse Practitioner (Family)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
DR. YURIY ZEYLIKMAN M.D.
Psychiatry & Neurology (Neurology)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
ELIZABETH HOPE WEISSLER
Surgery (Vascular Surgery)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
DR. ANGEL GUERRERO MD
Emergency Medicine
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111

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 Anne Schmelzer's NPI number?

The NPI number for Anne Schmelzer is 1376110262. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Anne Schmelzer located?

Anne Schmelzer practices at 2301 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 684-8111.

What is Anne Schmelzer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Anne Schmelzer enrolled in Medicare?

Yes. Anne Schmelzer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anne Schmelzer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anne Schmelzer reassigns Medicare benefits to 2 organizations: Duke University Health System, Inc. (Durham, NC) and Duke Health Integrated Practice, Inc. (Durham, 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 Anne Schmelzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anne Schmelzer accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Anne Schmelzer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anne Schmelzer was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.