Edith Lyneet Pearsall, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201920 Issued in NC

Practice address

1013 Porters Neck Rd Ste 100
Wilmington, NC 28411

Phone

(910) 686-1099

Fax

(910) 686-4715

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Edith Tart Former name

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Medicine Physicians of North Carolina - Burlington, PCGroup PAC ID 9931642667, 2 clinicians

Senior Care Systems, P.a.Group PAC ID 8527053024, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: epearsall@healthpartnersnc.amazing-direct.com

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.

• Hospitalist Medicine Physicians of North Carolina - Burlington, PC

  • Internal Medicine Physician
  • Rocky Mount, NC
  • NPI 1639927122
  Medicare reassignment Care Compare group NPD
• Senior Care Systems, P.a.

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1821168055
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1033255369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 PORTERS NECK RD STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118131",
            "telephone_number": "910-686-1099",
            "fax_number": "910-686-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 PORTERS NECK RD STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28411",
            "telephone_number": "910-686-1099",
            "fax_number": "910-686-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSALL",
        "first_name": "EDITH",
        "middle_name": "LYNEET",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "TART",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan E Peacock
• Christel Lynn Peaden, M.S., CCCSLP
• Peak Resources - Wilmington, Inc
• Kaela Irene Pearce, M.D.
• Sarah E Pearce
• Alexander Gerald Pearson-Moyers, PT,DPT
• Karis Pearson-Parham, PHD, HSP
• Darren J Pearson, MD
• Heather Dawn Pearson
• Nancy Pebbles, P.T.

• Family Nurse Practitioner in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.