Individual provider Active NPI

Rebecca Clark Bunch, NP

  • Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1043197619
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024194276 Issued in NC
Practice address
3121 Moseley Dr
Greenville, NC 27858-4245
Phone
(252) 758-4455
Fax
(252) 758-6742
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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 0024194276 NC Primary

Addresses

Primary practice location

3121 Moseley Dr
Greenville, NC 27858-4245

Mailing address

804 E 12TH St
Roanoke Rapids, NC 27870-3937

Other practice location 1

301 Market Dr Ste G
Emporia, VA 23847-1220
Phone (434) 230-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260128000704 VA Practitioner - Nurse Practitioner 2062990450 Reassigns benefits to 1 organization
I20260612000362 NC Practitioner - Nurse Practitioner 2062990450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitality Health Quick Care PLLCGroup PAC ID 3375938269, 4 clinicians

Practice addresses (Care Compare)

301 Market Dr
Suite G
Emporia, VA 23847-1220
Phone (434) 230-9080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024194276NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitality Health Quick Care PLLC CurrentSince Oct 10, 2025 Accepting new patients

Locations

301 Market Dr
Ste G
Emporia, VA 23847
Phone (434) 230-9080

Interoperability endpoints

  • Direct secure messaging: rebecca.bunch.1@32215.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1043197619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 E 12TH ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 MOSELEY DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584245",
            "telephone_number": "252-758-4455",
            "fax_number": "252-758-6742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Market Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "VA",
            "postal_code": "238471220",
            "country_code": "US",
            "telephone_number": "434-230-9080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "REBECCA",
        "middle_name": "CLARK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "0024194276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.