Individual provider Active NPI

Brenda Lee Gartrell

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1083253033
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05190145 Issued in NC
Practice address
2000 Red Quartz Dr
Raleigh, NC 27610-5634
Phone
(917) 202-2259
NPI assigned
Dec 21, 2019
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F05190145 NC Primary

Addresses

Primary practice location

2000 Red Quartz Dr
Raleigh, NC 27610-5634

Mailing address

2000 Red Quartz Dr
Raleigh, NC 27610-5634
Phone (917) 202-2259

Other practice location 1

1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

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
I20200310000107 NC Practitioner - Nurse Practitioner 3870921679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Community Health IncGroup PAC ID 3577471697, 32 clinicians

Practice addresses (Care Compare)

1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F05190145NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Community Health, Inc Current Accepting new patients
Advance Community Health, Inc CurrentSince Jan 15, 2022 Accepting new patients
Advance Community Health, Inc CurrentSince Jan 15, 2022 Accepting new patients
Advance Community Health, Inc Past Accepting new patients

Locations

212 S Salem St
Apex, NC 27502
Phone (919) 362-5201

130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499

111 S Church St
Louisburg, NC 27549
Phone (919) 250-2923

1011 Rock Quarry Rd
Raleigh, NC 27610
Phone (919) 250-2978

1011 Rock Quarry Rd
Fl 2
Raleigh, NC 27610

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1083253033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 RED QUARTZ DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105634",
            "telephone_number": "917-202-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RED QUARTZ DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105634",
            "telephone_number": "917-202-2259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Rock Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276103825",
            "country_code": "US",
            "telephone_number": "919-833-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARTRELL",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F05190145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.