Individual provider Active NPI

Patricia L Hill

  • Certified Registered Nurse Anesthetist
  • Rougemont, NC
National Provider Identifier
1104902840
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1619 Issued in NC
Practice address
916 Mann Oakley Rd
Rougemont, NC 27572-7139
Phone
(336) 364-4452
NPI assigned
Oct 27, 2006
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1619 NC Primary
Certified Registered Nurse Anesthetist 367500000X 30188 NC

Addresses

Primary practice location

916 Mann Oakley Rd
Rougemont, NC 27572-7139

Mailing address

5213 S Alston Ave
Durham, NC 27713-4430
Phone (919) 620-4855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090210000667 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244395119 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

603 Beaman St
Suite 200
Clinton, NC 28328-2647
Phone (910) 592-8711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1619NCMDAddiction (Substance Use Disorder) Counselor
30188NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Physicians and Associates PA CurrentSince Aug 18, 2017 Accepting new patients
Granville Health System CurrentSince Jan 1, 2007 Accepting new patients
Granville Health System Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2007 Accepting new patients
Duke University Health System, Inc. CurrentSince Nov 8, 2021 Accepting new patients
Eagle Physicians and Associates PA Current Accepting new patients
Duke University Health System, Inc. CurrentSince Nov 8, 2021 Accepting new patients
Duke University Health System, Inc. Nurse Anesthetist, Certified Registered Current Accepting new patients
Sampson Regional Medical Services, LLC CurrentSince Apr 24, 2018 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Aug 18, 2017 Accepting new patients
Sampson Regional Medical Services LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 24, 2018 Accepting new patients

Locations

603 Beaman St
Ste 200
Clinton, NC 28328
Phone (910) 592-8711

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

2400 Pratt St
Durham, NC 27705
Phone (919) 668-1002

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

Erwin Rd
Durham, NC 27710
Phone (336) 768-3240

1002 N Church St
Ste 201
Greensboro, NC 27401
Phone (336) 378-0713

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

Organizations & group practices 10

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 1

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1104902840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 S ALSTON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134430",
            "telephone_number": "919-620-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 MANN OAKLEY RD",
            "city": "ROUGEMONT",
            "state": "NC",
            "postal_code": "275727139",
            "telephone_number": "336-364-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "1619",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "30188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rougemont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.