Individual provider Active NPI

Wendy Colomathi, NP

  • Family Nurse Practitioner
  • Elizabeth City, NC
National Provider Identifier
1073167169
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5022636 Issued in NC
Practice address
3815 Conlon Way
Elizabeth City, NC 27909-7661
Phone
(252) 580-2002
NPI assigned
Jul 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11002392 FL
Family Nurse Practitioner 363LF0000X 5022636 NC Primary

Addresses

Primary practice location

3815 Conlon Way
Elizabeth City, NC 27909-7661

Mailing address

3815 Conlon Way
Elizabeth City, NC 27909-7661
Phone (252) 580-2002

Other names 1

  • Wendy Bien-Aime Former name

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
I20250815002760 NC Practitioner - Nurse Practitioner 5294234381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Velocity Urgent Care LLCGroup PAC ID 7618234980, 84 clinicians
Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, 213 clinicians

Practice addresses (Care Compare)

3815 Conlon Way
Elizabeth City, NC 27909-9999
Phone (252) 580-2002

623 W 15TH St
Washington, NC 27889-3526
Phone (252) 644-6450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11002392FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky, PLLC CurrentSince Jul 15, 2025 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Jul 15, 2025 Accepting new patients

Locations

212 S Tryon St
Ste 100
Charlotte, NC 28281

1515 Mockingbird Ln
Ste 420
Charlotte, NC 28209
Phone (310) 230-5984

623 W 15th St
Washington, NC 27889
Phone (252) 644-6450

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": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1073167169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 CONLON WAY",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097661",
            "telephone_number": "252-580-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 CONLON WAY",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097661",
            "telephone_number": "252-580-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOMATHI",
        "first_name": "WENDY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11002392",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "BIEN-AIME",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.