Melissa Kulbis, AGNP
Nurse Practitioner, Gerontology in State College, PA. Individual provider (NPI-1).
NPI number1063201465
StatusActive
Last updated in NPPESOct 29, 2025
Details
- NPI
- 1063201465
- Entity type
- Individual (NPI-1)
- Name
- Melissa Kulbis
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2025
- Certification date
- Oct 29, 2025
- Last updated
- Oct 29, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | SP026962 | PA | Yes |
Other names
- Melissa Bolger (Former Name)
Practice location
330 Innovation BlvdState College, PA 16803-6611
Phone 877-779-2429
Mailing address
1961 Number 10 RdNew Columbia, PA 17856-9356
Phone 267-347-9089
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Gerontology Nurse Practitioner providers in State College, PA
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.