Individual provider Active NPI

Peggy M Bintz, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hendersonville, NC
National Provider Identifier
1013099704
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
199886 Issued in NC
Practice address
558 Fleming St
Ste a
Hendersonville, NC 28739-4216
Phone
(828) 697-8471
Fax
(828) 697-8471
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 199886 NC Primary

Addresses

Primary practice location

558 Fleming St
Ste a
Hendersonville, NC 28739-4216

Mailing address

PO Box 684
Mountain Home, NC 28758-0684
Phone (828) 697-8471

Other identifiers 3

IdentifierTypeStateIssuer
NCMC038081MedicaidNC
2592478BOtherNCMEDICARE PTAN
6005048MedicaidNC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address peggybintznp@direct.practicefusion.com
Direct Messaging Address peggybintznp@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199886NCMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: peggybintznp@direct.practicefusion.com

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1013099704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 684",
            "city": "MOUNTAIN HOME",
            "state": "NC",
            "postal_code": "287580684",
            "telephone_number": "828-697-8471",
            "fax_number": "828-697-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 FLEMING ST",
            "address_2": "STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394216",
            "telephone_number": "828-697-8471",
            "fax_number": "828-697-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINTZ",
        "first_name": "PEGGY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "199886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NCMC038081",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2592478B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005048",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peggybintznp@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "558 Fleming St",
            "address_2": "Ste A",
            "city": "Hendersonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287394216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peggybintznp@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "peggybintznp@direct.practicefusion.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "558 Fleming St",
            "address_2": "Ste A",
            "city": "Hendersonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287394216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.