Active NPI
Victor Conrad Paquin, F.P.N.
- Nurse Practitioner
- Statesville, NC
National Provider Identifier
1043437775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 201475
- Practice address
- 1425 Fern Creek Dr
Statesville, NC 28625-9376 - Phone
- (828) 459-6824
- Fax
- (828) 330-2056
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201475 | NC | Primary |
Addresses
Primary practice location
1425 Fern Creek Dr
Statesville, NC 28625-9376
Mailing address
PO Box 5105
Belfast, ME 04915-5100
Phone (919) 220-5255
Other practice location 1
829 W 25th St
Newton, NC 28658-2852
Phone (828) 464-3771
Other practice location 2
2165 Medical Park Dr
Hickory, NC 28602-8809
Phone (828) 459-6824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201475 | Other | NC | NP LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2165 Medical Park Dr
Hickory, NC 28602-8809
Phone (828) 324-2800
Hospital & facility affiliations
- Catawba Valley Medical Center
- Frye Regional Medical Center
- Iredell Memorial Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201475 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catawba Urgent Care of Mountain View LLC | Current | Accepting new patients | |
| Catawba Valley Emergency Physicians PA | Past | Accepting new patients |
Locations
2330 Brookford Blvd
Hickory, NC 28602
Phone (828) 330-2103
Interoperability endpoints
- victorpaquin@fmc.allscriptsdirect.net
- victor.paquin.3@847.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.
-
- Orthopaedic Surgery Physician
- Durham, NC
- NPI 1376592964
-
- Urgent Care Clinic/Center
- Hickory, NC
- NPI 1265376917
-
- Emergency Medicine Physician
- Hickory, NC
- NPI 1881641819
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1043437775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5105",
"city": "BELFAST",
"state": "ME",
"postal_code": "049155100",
"telephone_number": "919-220-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 FERN CREEK DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286259376",
"telephone_number": "828-459-6824",
"fax_number": "828-330-2056"
}
],
"practiceLocations": [
{
"address_1": "829 W 25th St",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "NC",
"postal_code": "286582852",
"country_code": "US",
"telephone_number": "828-464-3771",
"fax_number": "828-330-2056",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2165 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Hickory",
"state": "NC",
"postal_code": "286028809",
"country_code": "US",
"telephone_number": "828-459-6824",
"fax_number": "828-330-2056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAQUIN",
"first_name": "VICTOR",
"middle_name": "CONRAD",
"credential": "F.P.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "201475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE",
"identifier": "201475",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.