Individual provider Active NPI

Faben Mulate Ali, FNP

  • Family Nurse Practitioner
  • Clayton, NC
National Provider Identifier
1043939895
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016975 Issued in NC
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

Updated by the provider on Apr 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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, CT5 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 5

Enrollment IDStateProvider typePAC IDDetails
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 PC 208 clinicians
Medical Group of New York PC 61 clinicians

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

LicenseStateTypeSpecialty
12.016974CTMDNurse Practitioner
11041942FLMDNurse Practitioner
26NJ15536000NJMDNurse Practitioner
31030ASCMDNurse Practitioner
0024193963VAMDNurse Practitioner
GAA-NP005004GAMDFamily Nurse Practitioner
F02211294MOMDFamily Nurse Practitioner
358034NYMDFamily Nurse Practitioner
SP035257PAMDFamily Nurse Practitioner

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Dec 8, 2022 Accepting new patients
Minuteclinic Primary Care North Carolina PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Dec 1, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.