Individual provider Active NPI

Robin Arlene Edwards, NP-C

  • Family Nurse Practitioner
  • Jefferson, NC
National Provider Identifier
1093029498
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
097861 Issued in NC
Practice address
151 Medical Park Dr.
Jefferson, NC 28640
NPI assigned
Jul 28, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 097861 NC Primary

Addresses

Primary practice location

151 Medical Park Dr.
Jefferson, NC 28640

Mailing address

138A North Fork New River Road
Lansing, NC 28643
Phone (336) 982-2158

Other practice location 1

138A North Fork New River Road
Lansing, NC 28643
Phone (336) 982-2158

Other names 1

  • Robin Edwards Settlemyre 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
I20101109001351 NC Practitioner - Nurse Practitioner 2264627819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians

Practice addresses (Care Compare)

151 Medical Park Dr
Jefferson, NC 28640-9560
Phone (336) 246-7161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
097861NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Feb 27, 2018 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Wake Forest Health Network LLC CurrentSince Feb 27, 2018 Accepting new patients
Wake Forest Health Network LLC Past Accepting new patients

Locations

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

151 Medical Park Dr
Jefferson, NC 28640
Phone (336) 246-7161

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

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.

Hospital & facility affiliations 8

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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093029498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138A NORTH FORK NEW RIVER ROAD",
            "city": "LANSING",
            "state": "NC",
            "postal_code": "28643",
            "telephone_number": "336-982-2158",
            "fax_number": "336-982-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MEDICAL PARK DR.",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "28640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138A North Fork New River Road",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "NC",
            "postal_code": "28643",
            "country_code": "US",
            "telephone_number": "336-982-2158",
            "fax_number": "336-982-3373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ROBIN",
        "middle_name": "ARLENE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "097861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "SETTLEMYRE",
            "middle_name": "EDWARDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jefferson, NC

Sources for this page

Verify at the official NPI Registry.