Individual provider Active NPI

Yudith E Acevedo, NP

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1003681545
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5019907 Issued in NC
Practice address
7780 Brier Creek Pkwy Ste 200
Raleigh, NC 27617-7869
Phone
(919) 596-3400
NPI assigned
Nov 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5019907 NC Primary

Addresses

Primary practice location

7780 Brier Creek Pkwy Ste 200
Raleigh, NC 27617-7869

Mailing address

7780 Brier Creek Pkwy Ste 200
Raleigh, NC 27617-7869
Phone (919) 596-3400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241213001197 NC Practitioner - Nurse Practitioner 5496281446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brier Creek Integrated Pain and Spine PLLCGroup PAC ID 9133214539, 20 clinicians

Practice addresses (Care Compare)

7780 Brier Creek Pkwy
Suite 200
Raleigh, NC 27617-7869
Phone (919) 596-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brier Creek Integrated Pain & Spine PLLC CurrentSince Nov 18, 2024 Accepting new patients
Wisconsin Spine and Pain SC Past Accepting new patients
Mann Ear Nose & Throat Clinic PA PastSince Mar 1, 2024 Accepting new patients

Locations

422 Peacock St
Ahoskie, NC 27910
Phone (252) 332-4100

407 E Fremont St
Burgaw, NC 28425
Phone (910) 259-2161

615 S Hughes Blvd
Ste C
Elizabeth Cty, NC 27909
Phone (252) 338-0373

568 Ruin Creek Rd
Ste 6
Henderson, NC 27536
Phone (252) 436-1085

5116 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 255-5234

4248 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 671-7229

7780 Brier Creek Pkwy
Raleigh, NC 27617

7780 Brier Creek Pkwy
Ste 200
Raleigh, NC 27617
Phone (919) 246-7266

709 Julian Allsbrk Hwy
Roanoke Rapids, NC 27870

4020 Shipyard Blvd
Wilmington, NC 28403

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFEDAA/Endpoint/BFEDAA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1003681545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PKWY STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177869",
            "telephone_number": "919-596-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PKWY STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177869",
            "telephone_number": "919-596-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "YUDITH",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.