Individual provider Active NPI

Jessica Ann Barry, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1104382639
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5011409 Issued in NC
Practice address
10901 World Trade Blvd
Raleigh, NC 27617-4203
Phone
(919) 746-8900
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5011409 NC Primary
Primary Care Nurse Practitioner 363LP2300X 5011409 NC
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 5011409 NC

Addresses

Primary practice location

10901 World Trade Blvd
Raleigh, NC 27617-4203

Mailing address

10901 World Trade Blvd
Raleigh, NC 27617-4203
Phone (919) 746-8900

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
I20190508003314 NC Practitioner - Nurse Practitioner 4789926940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Psychiatry and Emotional HealthGroup PAC ID 6608296744, 15 clinicians

Practice addresses (Care Compare)

1350 Sunday Dr
Suite 109
Raleigh, NC 27607-5196
Phone (919) 852-0996

530 New Waverly PL
Suite 314
Cary, NC 27518-7414
Phone (919) 854-0021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5011409NCMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD Psychiatry and Emotional Health CurrentSince Nov 1, 2020 Accepting new patients
Triangle Springs Physician Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
Triangle Springs Physician Group, LLC Past Accepting new patients

Locations

1700 Kildaire Farm Rd
Ste 210
Cary, NC 27511
Phone (919) 341-6010

530 New Waverly Pl
Ste 314
Cary, NC 27518
Phone (919) 642-4802

6104 Fayetteville Rd
Ste 101
Durham, NC 27713
Phone (919) 908-6444

1001 Navaho Dr
Ste 204
Raleigh, NC 27609
Phone (919) 854-0021

10901 World Trade Blvd
Raleigh, NC 27617
Phone (919) 272-1026

1350 Sunday Dr
#109
Raleigh, NC 27607
Phone (919) 746-8900

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1104382639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 WORLD TRADE BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174203",
            "telephone_number": "919-746-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 WORLD TRADE BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174203",
            "telephone_number": "919-746-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5011409",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5011409",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NC",
            "license": "5011409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.