Individual provider Active NPI

Maria Paula Trudeau, PA-C

  • Physician Assistant
  • Concord, NC
National Provider Identifier
1063006872
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-15514 Issued in NC
Practice address
349 Penny LN
Concord, NC 28025-1221
Phone
(704) 786-7158
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0010-15514 NC
Physician Assistant 363A00000X 0010-15514 NC Primary

Addresses

Primary practice location

349 Penny LN
Concord, NC 28025-1221

Mailing address

1523 Crescent LN Apt G
Matthews, NC 28105-2340
Phone (305) 528-4659

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
I20220613000987 FL Practitioner - Physician Assistant 7416335989
I20251125001226 NC Practitioner - Physician Assistant 7416335989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

349 Penny Lane NE
Concord, NC 28025-1221
Phone (704) 786-7158

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.49 of 100Reported as group
Quality
86.25
Promoting interoperability
99
Improvement activities
40
Cost
77.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-15514NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Obstetrics & Gynecology CurrentSince Nov 3, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Nov 3, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients

Locations

319 Penny Ln
Concord, NC 28025
Phone (704) 262-1911

349 Penny Ln
Concord, NC 28025
Phone (704) 786-7158

4315 Physicians Blvd
Ste 201
Harrisburg, NC 28075
Phone (704) 455-5508

Interoperability endpoints

  • Direct secure messaging: mtrudeau3047536@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 3

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 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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1063006872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 CRESCENT LN APT G",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052340",
            "telephone_number": "305-528-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 PENNY LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251221",
            "telephone_number": "704-786-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDEAU",
        "first_name": "MARIA",
        "middle_name": "PAULA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "0010-15514",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.