Individual provider Active NPI

Anna Ruslanovna Degolier, APRN-C, AGNP

  • Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1073979480
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5017297 Issued in NC
Practice address
7920 Acc Blvd Ste 300
Raleigh, NC 27617-8744
Phone
(919) 908-0000
Fax
(919) 596-6147
NPI assigned
Jan 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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 5017297 NC Primary
Nurse Practitioner 363L00000X APRN2051 HI

Addresses

Primary practice location

7920 Acc Blvd Ste 300
Raleigh, NC 27617-8744

Mailing address

7920 Acc Blvd Ste 300
Raleigh, NC 27617-8744
Phone (919) 908-0000

Other names 1

  • Anna Mobley 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
I20230208000866 NC Practitioner - Nurse Practitioner 9234501834 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN2051HIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jan 23, 2023 Accepting new patients
University of North Carolina at Chapel Hill Past Accepting new patients
Advanced Reproductive Medicine and Gynecology of Hawaii, Inc. Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

7920 Acc Blvd
Ste 300
Raleigh, NC 27617
Phone (919) 908-0000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1073979480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 ACC BLVD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178744",
            "telephone_number": "919-908-0000",
            "fax_number": "919-596-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 ACC BLVD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178744",
            "telephone_number": "919-908-0000",
            "fax_number": "919-596-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGOLIER",
        "first_name": "ANNA",
        "middle_name": "RUSLANOVNA",
        "name_prefix": "Ms.",
        "credential": "APRN-C, AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5017297",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN2051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "MOBLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.