Amanda D Marshburn, NP
Individual provider Active NPI Family Nurse Practitioner · Richlands, NC
NPI 1003362765 · NPPES record last updated Jan 10, 2022
Key facts
- NPI
- 1003362765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5008952 (NC)
- Practice address
- 8210 Richlands Hwy
Richlands, NC 28574-7198 - Phone
- (910) 324-7328
- Fax
- (910) 324-7329
- NPI assigned
- Aug 31, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vidant Medical Group LLC
Practice addresses (Care Compare)
401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080
701 Doctors Dr
Kinston, NC 28501-1584
Phone (252) 559-2200
8210 Richlands Hwy
Richlands, NC 28574-7198
Phone (910) 324-7328
Hospital & facility affiliations
- Well Care Home Health
- Centerwell Home Health
- Vidant Home Health and Hospice
- Onslow Memorial Hospital
- Vidant Duplin Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170124001197 | NC | Practitioner - Nurse Practitioner | 5395027593 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201339 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current |
Accepting new patients |
Locations
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
313 Airport Rd
Kinston, NC 28504
Phone (252) 559-2200
701 Doctors Dr
Kinston, NC 28501
Phone (252) 523-0687
701 Doctors Dr
Ste N
Kinston, NC 28501
Phone (252) 559-2200
8210 Richlands Hwy
Richlands, NC 28574
Phone (910) 324-7328
Interoperability endpoints
- amarshburn273725@direct.ecuhealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201339 | NC | |
| Nurse Practitioner | 363L00000X | 5008952 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5008952 | NC | Yes |
Addresses
Primary practice location
8210 Richlands Hwy
Richlands, NC 28574-7198
Mailing address
701 Doctors Dr
Kinston, NC 28501-1589
Phone (252) 559-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5008952 | Other | NC | NCBON NP |
| 201339 | Other | NC | NCBON |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amarshburn273725@direct.vidanthealth.com | ||
| Direct Messaging Address | amarshburn273725@direct.vidanthealth.com |
Other providers in Richlands, NC
- Lane and Associates Xliv DDS PA
- Shirley Powell Layton
- Shefali Lindsey
- John Carlos Lopez
- Ciera Johnson Macri
- Spencer Dalton Martin
- Brianna McCollum
- Med First Immediate Care & Family Practice PA
- Gianna Moglia
- Qadriyyah Morgan
All providers in Richlands, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.