Brenda Cheryl Fore, FNP-BC
Individual provider Active NPI Nurse Practitioner · Black Mountain, NC
NPI 1013547553 · NPPES record last updated Aug 10, 2023
Key facts
- NPI
- 1013547553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5012974 (NC)
- Practice address
- 997 Old US Hwy 70 W Ste a
Black Mountain, NC 28711-4505 - Phone
- (828) 298-7981
- Fax
- (828) 298-6010
- NPI assigned
- Jan 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- East Asheville Family Health Care PA
Practice addresses (Care Compare)
997 Old US Hwy 70 W
Suite a
Black Mountain, NC 28711-4505
Phone (828) 298-7981
Hospital & facility affiliations
- Centerwell Home Health
- Memorial Mission Hospital and Asheville Surgery Ce
- Adventhealth Hendersonville
- The McDowell Hospital
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 |
|---|---|---|---|---|
| I20200408004765 | NC | Practitioner - Nurse Practitioner | 1658700885 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5012974 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Asheville Family Health Care P.a. | Current |
Accepting new patients |
Locations
997 Old US Hwy 70 W
Ste A
Black Mtn, NC 28711
Phone (828) 298-7981
Interoperability endpoints
- brenda.fore.1@29272.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5012974 | NC | Yes |
Addresses
Primary practice location
997 Old US Hwy 70 W Ste a
Black Mountain, NC 28711-4505
Mailing address
PO Box 406
Bryson City, NC 28713-0406
Phone (828) 560-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NNB202A | Other | NC | MEDICARE |
| 2089V | Other | NC | BCBS NC |
| P02457852 | Other | NC | RAILROAD MEDICARE |
| 1013547553 | Medicaid | NC | |
| 2776095 | Other | NC | CIGNA |
Other providers in Black Mountain, NC
- Michael Francis Fiore
- Fletcher Hospital Inc
- Douglas Bryce Flora
- Hope Elizabeth Fontaine
- Cassidy Sean Ford
- Judy O'Neal Fore
- Hunter Foreman
- Jesse Foreman
- Meredith Suzanne Fowler
- Rachel Anne Fowler
All providers in Black Mountain, NC · 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 Aug 10, 2023. 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.