Active NPI
Faben Mulate Ali, FNP
- Family Nurse Practitioner
- Clayton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5016975
- Practice address
- 11911 US 70 Hwy W
Clayton, NC 27520-2144 - Phone
- (866) 389-2727
- NPI assigned
- Aug 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 31030A | SC | |
| Family Nurse Practitioner | 363LF0000X | GAA-NP005004 | GA | |
| Nurse Practitioner | 363L00000X | 26NJ15536000 | NJ | |
| Family Nurse Practitioner | 363LF0000X | F02211294 | MO | |
| Nurse Practitioner | 363L00000X | 12.016974 | CT | |
| Family Nurse Practitioner | 363LF0000X | 5016975 | NC | Primary |
| Nurse Practitioner | 363L00000X | 0024193963 | VA | |
| Family Nurse Practitioner | 363LF0000X | SP035257 | PA | |
| Family Nurse Practitioner | 363LF0000X | 358034 | NY | |
| Nurse Practitioner | 363L00000X | 11041942 | FL |
Addresses
Primary practice location
11911 US 70 Hwy W
Clayton, NC 27520-2144
Mailing address
11911 US 70 Hwy W
Clayton, NC 27520-2144
Phone (866) 389-2727
Other practice location 1
49 Wheat Straw Ct
Clayton, NC 27527-5124
Phone (619) 278-9503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA, NY, DC, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230110001900 | NC | Practitioner - Nurse Practitioner | 2860862703 | Reassigns benefits to 2 organizations |
| I20250829000912 | VA | Practitioner - Nurse Practitioner | 2860862703 | |
| I20251212002383 | NY | Practitioner - Nurse Practitioner | 2860862703 | Reassigns benefits to 1 organization |
| I20260107003374 | DC | Practitioner - Nurse Practitioner | 2860862703 | Reassigns benefits to 1 organization |
| I20260505002175 | CT | Practitioner - Nurse Practitioner | 2860862703 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Minuteclinic Diagnostic of North Carolina PCMedical Group of New York PC
Practice addresses (Care Compare)
11911 US 70 Bus Hwy W
Clayton, NC 27520-2144
Phone (866) 389-2727
375 White Plains Rd
Eastchester, NY 10709-2826
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12.016974 | CT | MD | Nurse Practitioner |
| 11041942 | FL | MD | Nurse Practitioner |
| 26NJ15536000 | NJ | MD | Nurse Practitioner |
| 31030A | SC | MD | Nurse Practitioner |
| 0024193963 | VA | MD | Nurse Practitioner |
| GAA-NP005004 | GA | MD | Family Nurse Practitioner |
| F02211294 | MO | MD | Family Nurse Practitioner |
| 358034 | NY | MD | Family Nurse Practitioner |
| SP035257 | PA | MD | Family Nurse Practitioner |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of North Carolina PC | Family | Current | Accepting new patients |
| Minuteclinic Primary Care North Carolina PLLC | Family | Current | Accepting new patients |
| Medical Group of New York, P.C. | Family | Current | Accepting new patients |
Locations
10100 S Main St
Archdale, NC 27263
Phone (336) 431-0715
11911 US 70 Hwy W
Clayton, NC 27520
Phone (866) 329-2727
2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401
6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415
107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222
375 White Plains Rd
Eastchester, NY 10709
Phone (914) 337-5300
7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910
1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
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.
-
- Family Nurse Practitioner
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- NPI 1699748608
Family, NC
-
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1356159818
Family, NC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1043939895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11911 US 70 HWY W",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202144",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11911 US 70 HWY W",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202144",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "49 Wheat Straw Ct",
"address_purpose": "LOCATION",
"city": "Clayton",
"state": "NC",
"postal_code": "275275124",
"country_code": "US",
"telephone_number": "619-278-9503",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALI",
"first_name": "FABEN",
"middle_name": "MULATE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-24",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "31030A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP005004",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ15536000",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "F02211294",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "12.016974",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5016975",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024193963",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP035257",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "358034",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11041942",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, NC
- Mildred Carolina Aguilar Familia, DMD
- Christiana Akwari, MD
- Shereen Azam Alavian, MD, MPH
- Alayon Care Transportation LLC
- Alleta Michelle Spruill Alexander, MSW, LCSWA, LCAS
- Mir-Omar Ali, MD
- Align Family Chiropractic PC
- Richard John Alioto, M.D.
- All Occasions Transportation
- All Precious Home Care Agency
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.