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MELISA WALLACE PERRY FNP-C
NPI 1669025763
Nurse Practitioner - Family in Seagrove, NC

Active since July 18, 2019PECOS Enrolled
514 N BROAD ST, SEAGROVE, NC 27341(336) 873-8045(336) 873-9074 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2020, Aug 6, 2019, Jul 18, 2019 (3 updates tracked since 2019).

About Melisa Wallace Perry Fnp-c NPPES

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

MELISA WALLACE PERRY FNP-C (NPI 1669025763) is an individual family provider in Seagrove, North Carolina, licensed in North Carolina (5012013) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minnetonka.

NPPES Registry Identity

NPI1669025763
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISA WALLACE PERRYCredential: FNP-C
Location Address514 N BROAD STSeagrove, NC 27341
Mailing Address218 Foust St Ste CAsheboro, NC 27203-5476 · (336) 625-2333 · Fax (336) 625-5511
Phone(336) 873-8045
Fax(336) 873-9074
Sole ProprietorNo
Enumeration DateJuly 18, 2019
Last NPPES UpdateJanuary 16, 20203 updates tracked since enumeration
✔ NPI 1669025763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5012013
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5012013 (NC)
514 N BROAD ST, Seagrove, NC 27341
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Secondary Practice Location 1

Location 19900 Bren Rd EMinnetonka, MN 55343-9664 · Phone (952) 936-6666

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melisa Wallace Perry Fnp-c 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 27341 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers26 claims41 services$5.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

RANDOLPH SPECIALTY GROUP PRACTICE
Family Medicine
514 N BROAD ST
SEAGROVE, NC 27341
Randolph County (336) 873-8045
AMERICAN HEALTHCARE SYSTEMS, LLC
Family Medicine
514 N BROAD ST
SEAGROVE, NC 27341
Randolph County (336) 873-8045
MR. JOHN F GAGE MD
Family Medicine
514 N BROAD ST
SEAGROVE, NC 27341
Randolph County (336) 873-8045

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 Melisa Perry's NPI number?

The NPI number for Melisa Perry is 1669025763. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Melisa Perry located?

Melisa Perry practices at 514 N Broad St, Seagrove, NC 27341. The listed phone number is (336) 873-8045.

What is Melisa Perry's specialty?

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

Is Melisa Perry enrolled in Medicare?

Yes. Melisa Perry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melisa Perry was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.