Individual provider Active NPI

Nancy Adams Stump, FNP-C

  • Family Nurse Practitioner
  • Burnsville, NC
National Provider Identifier
1104714120
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5022480 Issued in NC
Practice address
56 Stardust Rd Unit 3
Burnsville, NC 28714-6385
Phone
(828) 203-8830
NPI assigned
Jun 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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 5022480 NC Primary

Addresses

Primary practice location

56 Stardust Rd Unit 3
Burnsville, NC 28714-6385

Mailing address

56 Stardust Rd Unit 3
Burnsville, NC 28714-6385
Phone (828) 203-8830

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
I20251024003305 NC Order and Referring Only - Nurse Practitioner 5799273256

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

56 Stardust Rd
Unit 3
Burnsville, NC 28714-5385

56 Stardust Rd
Unit 3
Burnsville, NC 28714-6385

620 Mag Sluder Rd
Alexander, NC 28701-9758

Hospital & facility affiliations

  • Pruitthealth at Home - Yancey Home health agency, Burnsville, NC, CCN 347100
  • Blue Ridge Regional Hospital Hospital, Spruce Pine, NC, CCN 341329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5022480NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Health and Wellness Family CurrentSince Jun 29, 2025 Accepting new patients

Locations

56 Stardust Rd
Unit 3
Burnsville, NC 28714
Phone (828) 203-8820

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICFFDD/Endpoint/ICFFDD

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.

Hospital & facility affiliations 4

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": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1104714120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 STARDUST RD UNIT 3",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287146385",
            "telephone_number": "828-203-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 STARDUST RD UNIT 3",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287146385",
            "telephone_number": "828-203-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMP",
        "first_name": "NANCY",
        "middle_name": "ADAMS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, NC

Sources for this page

Verify at the official NPI Registry.