NPIMap

Individual provider Active NPI

Angela Demetrius, MSN, APRN, FNP-BC

  • Nurse Practitioner
  • Smithfield, NC
National Provider Identifier
1033852959
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5016064 Issued in NC
Practice address
614 E Market St
Smithfield, NC 27577-3926
Phone
(919) 975-1100
NPI assigned
Apr 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5016064 NC Primary

Addresses

Primary practice location

614 E Market St
Smithfield, NC 27577-3926

Mailing address

309 Shorehouse Way
Holly Springs, NC 27540-5950
Phone (321) 213-3899

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Angelad@cardinalhospicecare.com Direct

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
I20240515000130 NC Practitioner - Nurse Practitioner 9931540473 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Ih Physician Services PCGroup PAC ID 5991165458, 56 clinicians
Post Acute Clinical Services PLLCGroup PAC ID 1951807627, 17 clinicians

Practice addresses (Care Compare)

100 Pavilion Way
Suite E4 and E5
Southern Pines, NC 28387-4559
Phone (910) 684-5078

1212 E Sunset Dr
Monroe, NC 28112-4318
Phone (704) 231-4571

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Clinical Services PLLC CurrentSince Jan 20, 2026 Accepting new patients
Physicians Eldercare PA CurrentSince Apr 24, 2024 Accepting new patients
Ih Physician Services, PC CurrentSince Nov 4, 2024 Accepting new patients
Curana Health of North Carolina PLLC CurrentSince Apr 24, 2024 Accepting new patients
Ih Physician Services PC CurrentSince Nov 4, 2024 Accepting new patients

Locations

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

6001 Wilora Lake Rd
Charlotte, NC 28212
Phone (704) 563-2922

1212 E Sunset Dr
Monroe, NC 28112
Phone (704) 283-8548

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

100 Pavilion Way
Ste E4
Southern Pnes, NC 28387
Phone (910) 684-5078

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 4

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": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1033852959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SHOREHOUSE WAY",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275405950",
            "telephone_number": "321-213-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E MARKET ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773926",
            "telephone_number": "919-975-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMETRIUS",
        "first_name": "ANGELA",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Angelad@cardinalhospicecare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "614 E Market St",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275773926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.