Individual provider Active NPI

Bruce Jamie Stevens, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, NC
National Provider Identifier
1114220613
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4567 Issued in CT
Practice address
202D McGill Ave NW
Concord, NC 28025-4615
Phone
(704) 792-2315
Fax
(844) 269-8197
NPI assigned
Dec 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4567 CT Primary

Addresses

Primary practice location

202D McGill Ave NW
Concord, NC 28025-4615

Mailing address

6209 Knightsgate CT
Charlotte, NC 28269-0603
Phone (203) 693-1510

Other practice location 1

3013 Dixwell Ave Ste 1
Hamden, CT 06518-3527
Phone (475) 244-3443

Other names 1

  • Dr. Jamie Stevens Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210907000334 NC Practitioner - Nurse Practitioner 9133349400 Reassigns benefits to 1 organization
I20241024000909 CT Practitioner - Nurse Practitioner 9133349400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cabarrus Rowan Community Health Centers Inc 11 clinicians

Practice addresses (Care Compare)

298 Lincoln St SW
Concord, NC 28025-5469
Phone (704) 792-2242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4567CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince May 27, 2021 Accepting new patients
Aveline Psychiatry LLC Psychiatric/Mental Health CurrentSince Sep 21, 2024 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. Current Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince May 27, 2021 Accepting new patients
Shoreline Neuropsychiatric Services, LLC Psychiatric/Mental Health CurrentSince May 14, 2023 Accepting new patients

Locations

3013 Dixwell Ave
Hamden, CT 06518
Phone (203) 399-6071

3013 Dixwell Ave
Ste 1
Hamden, CT 06518
Phone (203) 399-6017

202D McGill Ave NW
Concord, NC 28025
Phone (704) 792-2242

Interoperability endpoints

  • Direct secure messaging: jamie.stevens.1@12871.direct.athenahealth.com

Organizations & group practices 8

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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1114220613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 KNIGHTSGATE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690603",
            "telephone_number": "203-693-1510",
            "fax_number": "938-253-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202D MCGILL AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254615",
            "telephone_number": "704-792-2315",
            "fax_number": "844-269-8197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3013 Dixwell Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065183527",
            "country_code": "US",
            "telephone_number": "475-244-3443",
            "fax_number": "860-261-0669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "BRUCE",
        "middle_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "4567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "STEVENS",
            "prefix": "DR.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.