Active NPI
Amanda D Marshburn, NP
- Family Nurse Practitioner
- Richlands, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5008952
- Practice address
- 8210 Richlands Hwy
Richlands, NC 28574-7198 - Phone
- (910) 324-7328
- Fax
- (910) 324-7329
- NPI assigned
- Aug 31, 2016
- Last updated
- Jan 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201339 | NC | |
| Nurse Practitioner | 363L00000X | 5008952 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5008952 | NC | Primary |
Addresses
Primary practice location
8210 Richlands Hwy
Richlands, NC 28574-7198
Mailing address
701 Doctors Dr
Kinston, NC 28501-1589
Phone (252) 559-2200
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amarshburn273725@direct.vidanthealth.com | ||
| Direct Messaging Address | amarshburn273725@direct.vidanthealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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
- amarshburn273725@direct.vidanthealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba ECU Health Duplin Hospital
- General Acute Care Hospital
- Kenansville, NC
- NPI 1508832833
-
dba Vidant Home Health and Hospice
- Home Health Agency
- Kenansville, NC
- NPI 1134599137
-
dba Onslow Memorial Hospital
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
-
dba CenterWell Home Health
- Home Health Agency
- Pollocksville, NC
- NPI 1043243835
-
- Home Health Agency
- Wilmington, NC
- NPI 1760470660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1003362765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 DOCTORS DR",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011589",
"telephone_number": "252-559-2200",
"fax_number": "252-522-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8210 RICHLANDS HWY",
"city": "RICHLANDS",
"state": "NC",
"postal_code": "285747198",
"telephone_number": "910-324-7328",
"fax_number": "910-324-7329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHBURN",
"first_name": "AMANDA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "201339",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5008952",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5008952",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amarshburn273725@direct.vidanthealth.com",
"affiliation": "N",
"address_1": "2100 Stantonsburg Rd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278342818",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amarshburn273725@direct.vidanthealth.com",
"affiliation": "N",
"address_1": "2100 Stantonsburg Rd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278342818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richlands, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.