Active NPI
Stacey E Applegate, DO
- Pediatric Cardiology Physician
- Greenville, NC
National Provider Identifier
1104974526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 2006-00938
- Practice address
- 115 Heart Dr
Greenville, NC 27834-8982 - Phone
- (252) 744-4400
- Fax
- (252) 744-3987
- NPI assigned
- Jan 8, 2007
- Last updated
- Jan 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 200600938 | NC | |
| Pediatric Cardiology Physician | 2080P0202X | 2006-00938 | NC | Primary |
Addresses
Primary practice location
115 Heart Dr
Greenville, NC 27834-8982
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165F6 | Other | NC | BCBSNC |
| 5918594 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sapplegate17021@direct.ecuhealth.com | Health Information Exchange (HIE) |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- West Virginia School of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Moye Blvd
Greenville, NC 27834-4300
Phone (252) 744-4611
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200600938 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina University | Pediatrics | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Onslow Memorial Hospital Inc | Current | Accepting new patients | |
| East Carolina University | Current | Accepting new patients | |
| East Carolina University | Past | Accepting new patients |
Locations
115 Heart Dr
Greenville, NC 27834
Phone (252) 744-4400
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
Organizations & group practices 5
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.
-
dba Onslow Memorial Hospital
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
dba ECU Physicians
- Obstetrics & Gynecology Physician
- Greenville, NC
- NPI 1528016938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1104974526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 HEART DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278348982",
"telephone_number": "252-744-4400",
"fax_number": "252-744-3987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPLEGATE",
"first_name": "STACEY",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "200600938",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NC",
"license": "2006-00938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "165F6",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5918594",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sapplegate17021@direct.ecuhealth.com",
"affiliation": "N",
"endpointDescription": "ECU Physicians",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "115 Heart Dr",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278348982",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.