Individual provider Active NPI

Jessica Lin Salmon, APRN, FNP-C

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1053623082
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016466 Issued in NC
Practice address
1511 Westover Ter Ste 107
Greensboro, NC 27408-7122
Phone
(336) 398-5155
NPI assigned
Jul 7, 2010
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11011347 FL
Family Nurse Practitioner 363LF0000X 5016466 NC Primary
Registered Nurse 163W00000X RN9289018 FL

Addresses

Primary practice location

1511 Westover Ter Ste 107
Greensboro, NC 27408-7122

Mailing address

703 W Cornwallis Dr
Greensboro, NC 27408-5618
Phone (850) 791-2806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210603001666 FL Practitioner - Nurse Practitioner 2062811532
I20230117000294 NC Practitioner - Nurse Practitioner 2062811532 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
Group practices
Wake Spine and Pain Specialists PCGroup PAC ID 2860543097, 31 clinicians

Practice addresses (Care Compare)

1511 Westover Ter
Suite 107
Greensboro, NC 27408-7122
Phone (336) 398-5155

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9289018FLMDRegistered Nurse
11011347FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Spine and Pain Specialists, PC CurrentSince Jan 9, 2023 Accepting new patients
Wake Spine & Pain Specialists PC CurrentSince Jan 9, 2023 Accepting new patients

Locations

1511 Westover Ter
Ste 107
Greensboro, NC 27408
Phone (336) 274-7771

3801 Wake Forest Rd
Ste 210
Raleigh, NC 27609
Phone (919) 737-2034

2912 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 760-0706

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIJHAA/Endpoint/CIJHAA
  • Direct secure messaging: jessica.salmon@wsps.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1053623082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 W CORNWALLIS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274085618",
            "telephone_number": "850-791-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 WESTOVER TER STE 107",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087122",
            "telephone_number": "336-398-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMON",
        "first_name": "JESSICA",
        "middle_name": "LIN",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011347",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016466",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9289018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.