Individual provider Active NPI

Dinah Chebotip Ngetich, FNP-C

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1013262245
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005671 Issued in NC
Practice address
1309 N Elm St
Greensboro, NC 27401-1005
Phone
(336) 544-5400
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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 5005671 NC Primary

Addresses

Primary practice location

1309 N Elm St
Greensboro, NC 27401-1005

Mailing address

10320 Feld Farm LN
Suite 300
Charlotte, NC 28210-8483
Phone (704) 541-0925

Other practice location 1

10320 Feld Farm Ln
Suite 300
Charlotte, NC 28210-8483
Phone (704) 541-0925

Other identifiers 1

IdentifierTypeStateIssuer
177XJOtherNCBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dngetich334943@direct.conehealth.com Direct

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
I20130604000461 NC Practitioner - Nurse Practitioner 5395983217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moses Cone Affiliated Physicians, Inc. 80 clinicians

Practice addresses (Care Compare)

1309 N Elm St
Greensboro, NC 27401-1005
Phone (336) 544-5400

Hospital & facility affiliations

  • Adoration Home Health Home health agency, High Point, NC, CCN 347125
  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5005671NCMDFamily Nurse Practitioner

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Piedmont Senior Care, PLLC Current Accepting new patients
Moses Cone Affiliated Physicians, Inc. CurrentSince Jan 9, 2017 Accepting new patients
Moses Cone Affiliated Physicians, Inc Current Accepting new patients
Moses Cone Affiliated Physicians, Inc. CurrentSince Jan 9, 2017 Accepting new patients

Locations

1309 N Elm St
Greensboro, NC 27401
Phone (336) 544-5400

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: dngetich334943@direct.conehealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1013262245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 FELD FARM LN",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108483",
            "telephone_number": "704-541-0925",
            "fax_number": "704-541-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011005",
            "telephone_number": "336-544-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10320 Feld Farm Ln",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108483",
            "country_code": "US",
            "telephone_number": "704-541-0925",
            "fax_number": "704-541-0924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGETICH",
        "first_name": "DINAH",
        "middle_name": "CHEBOTIP",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "177XJ",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dngetich334943@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1309 N Elm St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.