Individual provider Active NPI

Suzanne L Masters, FNP

  • Nurse Practitioner
  • Knightdale, NC
National Provider Identifier
1043934284
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5016986 Issued in NC
Practice address
162 Legacy Oaks Dr
Knightdale, NC 27545-6556
Phone
(919) 813-6906
NPI assigned
Sep 30, 2022
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 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 5016986 NC Primary

Addresses

Primary practice location

162 Legacy Oaks Dr
Knightdale, NC 27545-6556

Mailing address

162 Legacy Oaks Dr
Knightdale, NC 27545-6556

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
I20230329001470 NC Practitioner - Nurse Practitioner 1951775162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

162 Legacy Oaks Dr
Suite 101
Knightdale, NC 27545-6557
Phone (919) 373-1800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5016986NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Feb 6, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Feb 6, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Past Accepting new patients

Locations

100 Duke Health Cary Pl
Ste 110
Cary, NC 27519
Phone (919) 385-4855

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

411 W Chapel Hill St
Ste 1100
Durham, NC 27701

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1868

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622

401 Irving Pkwy
Ste 110
Holly Springs, NC 27540
Phone (919) 385-3022

162 Legacy Oaks Dr
Ste 101
Knightdale, NC 27545
Phone (919) 232-5205

10211 Alm St
Raleigh, NC 27617
Phone (919) 206-4868

7021 Harps Mill Rd
Raleigh, NC 27615
Phone (919) 823-5446

3000 Rogers Rd
Ste 100
Wake Forest, NC 27587
Phone (919) 367-1729

Interoperability endpoints

  • Direct secure messaging: slambert228088@direct.medicine.duke.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1043934284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 LEGACY OAKS DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 LEGACY OAKS DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456556",
            "telephone_number": "919-813-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "SUZANNE",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

Verify at the official NPI Registry.