MELISSA EVANS SULLIVAN NP
NPI 1396792693
Nurse Practitioner in Charlotte, NC

Q: What is Melissa Sullivan's NPI number?

The NPI number for Melissa Sullivan is 1396792693. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Q: What is Melissa Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Sullivan was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 30, 2006PECOS Enrolled

1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1422 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 53 more (56 updates tracked since 2018).

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About Melissa Evans Sullivan Np NPPES

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

MELISSA EVANS SULLIVAN NP (NPI 1396792693) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5000605) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1396792693

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMELISSA EVANS SULLIVANCredential: NP

Location Address1350 S KINGS DRCharlotte, NC 28207-2134

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 446-1422

Sole ProprietorNo

Enumeration DateMay 30, 2006

Last NPPES UpdateJuly 15, 202456 updates tracked since enumeration

✔ NPI 1396792693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5000605

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 5000605 (NC)

1350 S KINGS DR, Charlotte, NC 28207

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Secondary Practice Locations 4

Location 13193 W Highway 74Monroe, NC 28110-8437 · Phone (704) 698-4089

Location 26025 Blakeney Park Dr, Ste 100Charlotte, NC 28277-5703 · Phone (704) 667-4480

Location 3231 S Sharon Amity RdCharlotte, NC 28211-2803 · Phone (704) 304-6400

Location 41001 Blythe Blvd, Medical Center Plaza, Suite 200Charlotte, NC 28203-5866 · Phone (704) 381-8840

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Evans Sullivan Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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.

KRISTINA JASMIN HARRELL MD

Pediatrics (Pediatric Hematology-Oncology)