NPIMap

Individual provider Active NPI

Audra Helena Bovender, PA-C

  • Medical Physician Assistant
  • Raleigh, NC
National Provider Identifier
1013603489
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
5920 Sandy Forks Rd Unit 200
Raleigh, NC 27609-3814
Phone
(919) 954-3174
NPI assigned
Apr 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

5920 Sandy Forks Rd Unit 200
Raleigh, NC 27609-3814

Mailing address

109 W Fortune St Apt 1417
Tampa, FL 33602-3217
Phone (919) 412-0245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721000241 NC Practitioner - Physician Assistant 5799145801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke University Affiliated Physicians, Inc. 452 clinicians
Legacy Healthcare Services Inc 3,431 clinicians

Practice addresses (Care Compare)

162 Legacy Oaks Dr
Suite 101
Knightdale, NC 27545-6557
Phone (919) 373-1800

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

Hospital & facility affiliations

  • Duke Home Health Home health agency, Durham, NC, CCN 347136
  • Centerwell Home Health Home health agency, Raleigh, NC, CCN 347178
  • Pruitthealth at Home - Wake Home health agency, Raleigh, NC, CCN 347251
  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Internal Medicine CurrentSince Aug 7, 2023 Accepting new patients
Duke University Affiliated Physician, Inc. Internal Medicine CurrentSince Aug 7, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. Past Accepting new patients
Duke University Affiliated Physicians, Inc Internal Medicine Past Accepting new patients

Locations

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

162 Legacy Oaks Dr
Ste 101
Knightdale, NC 27545
Phone (919) 232-5205

7021 Harps Mill Rd
Ste 100
Raleigh, NC 27615
Phone (919) 576-8480

Interoperability endpoints

  • Direct secure messaging: abovender552316@direct.medicine.duke.edu

Organizations & group practices 12

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 11

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": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1013603489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W FORTUNE ST APT 1417",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023217",
            "telephone_number": "919-412-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 SANDY FORKS RD UNIT 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093814",
            "telephone_number": "919-954-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVENDER",
        "first_name": "AUDRA",
        "middle_name": "HELENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.