Individual provider Active NPI

Jennifer Gilbert

  • Primary Care Nurse Practitioner
  • Roxboro, NC
National Provider Identifier
1104683515
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5019697 Issued in NC
Practice address
702 N Main St
Roxboro, NC 27573-4755
Phone
(336) 599-9271
NPI assigned
Mar 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5019697 NC Primary

Addresses

Primary practice location

702 N Main St
Roxboro, NC 27573-4755

Mailing address

1013 Morton Pulliam Rd
Roxboro, NC 27574-8567
Phone (434) 607-7360

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
I20240430002776 NC Practitioner - Nurse Practitioner 7113367731 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Person Family Medical Center Incorporated CurrentSince Apr 16, 2024 Accepting new patients
Person Family Medical Center Incorporated PastSince Mar 3, 2024 Accepting new patients

Locations

702 N Main St
Roxboro, NC 27573
Phone (336) 599-9271

Interoperability endpoints

  • Direct secure messaging: jennifer.eure.p1@direct.personfamily.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1104683515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 MORTON PULLIAM RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275748567",
            "telephone_number": "434-607-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734755",
            "telephone_number": "336-599-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5019697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

Verify at the official NPI Registry.