Individual provider Active NPI

Mary McVean, FNP

  • Nurse Practitioner
  • Kill Devil Hills, NC
National Provider Identifier
1083722623
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5007834 Issued in NC
Practice address
400 S Croatan Hwy
Kill Devil Hills, NC 27948-8895
Phone
(252) 441-7870
Fax
(252) 565-0534
NPI assigned
Aug 25, 2006
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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 5007834 NC Primary
Family Nurse Practitioner 363LF0000X 101-0014543 VT

Addresses

Primary practice location

400 S Croatan Hwy
Kill Devil Hills, NC 27948-8895

Mailing address

5107 N Croatan Hwy
Kitty Hawk, NC 27949-3989
Phone (252) 441-7870

Other practice location 1

1000 Brabham Ln
Jacksonville, NC 28546-5003
Phone (910) 341-3300

Other practice location 2

5107 N Croatan Hwy
Kitty Hawk, NC 27949-3989
Phone (252) 441-7870

Other identifiers 1

IdentifierTypeStateIssuer
0NP0600MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050413000799 VT Practitioner - Nurse Practitioner 9032156856 Reassigns benefits to 1 organization
I20131202000944 NY Practitioner - Nurse Practitioner 9032156856 Reassigns benefits to 1 organization
I20150819006337 NC Practitioner - Nurse Practitioner 9032156856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

191 N Main St
Wellsville, NY 14895-1150
Phone (585) 596-0145

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
331215NYMDProfessional Counselor
101-0014543VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc CurrentSince Aug 11, 2024 Accepting new patients
Surf Pediatrics and Medicine PC CurrentSince Jan 1, 2023 Accepting new patients
Eastern Radiologists Inc PastSince Dec 18, 2022 Accepting new patients
Wilmington Health PLLC Past Accepting new patients

Locations

400 S Croatan Hwy
Kill Devil Hills, NC 27948
Phone (252) 441-7870

5107 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 255-5321

100 E Dune St
Nags Head, NC 27959
Phone (252) 449-5200

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

Interoperability endpoints

  • Direct secure messaging: mmcvean593291@direct.uvmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1083722623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493989",
            "telephone_number": "252-441-7870",
            "fax_number": "252-565-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CROATAN HWY",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279488895",
            "telephone_number": "252-441-7870",
            "fax_number": "252-565-0534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Brabham Ln",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285465003",
            "country_code": "US",
            "telephone_number": "910-341-3300",
            "fax_number": "910-251-2067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5107 N Croatan Hwy",
            "address_purpose": "LOCATION",
            "city": "Kitty Hawk",
            "state": "NC",
            "postal_code": "279493989",
            "country_code": "US",
            "telephone_number": "252-441-7870",
            "fax_number": "252-565-0534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCVEAN",
        "first_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007834",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101-0014543",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0NP0600",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kill Devil Hills, NC

Sources for this page

Verify at the official NPI Registry.