Individual provider Active NPI

Caroline Richards Smithson

  • Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1043681067
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008104 Issued in NC
Practice address
8090 Market St
Wilmington, NC 28411
Phone
(910) 341-3300
Fax
(910) 251-2067
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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 5008104 NC Primary

Addresses

Primary practice location

8090 Market St
Wilmington, NC 28411

Mailing address

PO Box 3961
2400 Pratt St. Suite 9000
Durham, NC 27710-0001
Phone (919) 668-1002

Other practice location 1

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 668-1002

Other names 1

  • Caroline Richards Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190313002430 NC Practitioner - Nurse Practitioner 4688914476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians

Practice addresses (Care Compare)

1000 Brabham LN
Jacksonville, NC 28546-5003
Phone (910) 341-1540

1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540

1222 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540

4320 Henson Dr
Wilmington, NC 28405-7424
Phone (910) 341-1540

5211 S College Rd
Wilmington, NC 28412-2209
Phone (910) 341-1540

6781 Parker Farm Dr
Suite 200
Wilmington, NC 28405-3161
Phone (910) 341-1540

8064 Market St
Wilmington, NC 28411-9384
Phone (910) 341-1540

8068 Market St
Wilmington, NC 28411-9384
Phone (910) 796-7767

8090 Market St
Wilmington, NC 28411-9384
Phone (910) 341-1540

8108 B Market St
Wilmington, NC 28411-9386
Phone (910) 341-1540

8114 Market St
Suite 200
Wilmington, NC 28411-9386
Phone (910) 341-1540

9101 Ocean Hwy E
Leland, NC 28451-7867
Phone (910) 341-1540

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5008104NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Health PLLC CurrentSince Feb 15, 2019 Accepting new patients
Wilmington ASC LLC CurrentSince Feb 15, 2019 Accepting new patients

Locations

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

8090 Market St
Wilmington, NC 28411
Phone (910) 251-6737

Interoperability endpoints

  • Direct secure messaging: caroline.smithson.p1@direct.wilmingtonhealth.nextgenshare.com

Organizations & group practices 2

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 1

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": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1043681067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3961",
            "address_2": "2400 PRATT ST. SUITE 9000",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-668-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8090 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28411",
            "telephone_number": "910-341-3300",
            "fax_number": "910-251-2067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054699",
            "country_code": "US",
            "telephone_number": "919-668-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITHSON",
        "first_name": "CAROLINE",
        "middle_name": "RICHARDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "RICHARDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.