Individual provider Active NPI

Rebecca Jeffries Cloer, FNP

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1104483387
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5011804 Issued in NC
Practice address
8331 Bandford Way Ste 101
Raleigh, NC 27615-2765
Phone
(919) 841-4566
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5011804 NC Primary

Addresses

Primary practice location

8331 Bandford Way Ste 101
Raleigh, NC 27615-2765

Mailing address

8331 Bandford Way Ste 101
Raleigh, NC 27615-2765
Phone (919) 841-4566

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
I20190829003973 NC Practitioner - Nurse Practitioner 4486982337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Raleigh Family MedicineGroup PAC ID 1759535115, 3 clinicians

Practice addresses (Care Compare)

8331 Bandford Way
Suite 101
Raleigh, NC 27615-2765
Phone (919) 841-4566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Raleigh Family Medicine Family Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

8331 Bandford Way
Ste 101
Raleigh, NC 27615
Phone (919) 841-4566

Interoperability endpoints

  • Direct secure messaging: northraleighfamilymed.rebeccacloer@136519.advancedmd-direct.com

Organizations & group practices 1

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1104483387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 BANDFORD WAY STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152765",
            "telephone_number": "919-841-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8331 BANDFORD WAY STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152765",
            "telephone_number": "919-841-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOER",
        "first_name": "REBECCA",
        "middle_name": "JEFFRIES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5011804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.