NPIMap

Individual provider Active NPI

Stanley Robert Stevens Jr., NP-C

  • Family Nurse Practitioner
  • Pollocksville, NC
National Provider Identifier
1114288768
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006201 Issued in NC
Practice address
137 Medical LN
Pollocksville, NC 28573-8200
Phone
(252) 633-1010
Fax
(252) 224-3071
NPI assigned
May 30, 2012
Last updated
May 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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 5006201 NC Primary

Addresses

Primary practice location

137 Medical LN
Pollocksville, NC 28573-8200

Mailing address

PO Box 602522
Charlotte, NC 28260-2522
Phone (252) 633-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ND2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130701000754 NC Practitioner - Nurse Practitioner 3476707530 Reassigns benefits to 7 organizations
I20160128001175 ND Practitioner - Nurse Practitioner 3476707530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes HospitalGroup PAC ID 4486565645, 5 clinicians

Practice addresses (Care Compare)

702 1St St SW
Crosby, ND 58730-0010

702 1St St SW
Crosby, ND 58730-3329
Phone (701) 965-6349

C PO Box
Crosby, ND 58730-0658

PO Box
Crosby, ND 58730-0010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5006201NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Emergency Physicians, PLLC CurrentSince Sep 15, 2022 Accepting new patients
Carolinaeast Physicians CurrentSince Jul 1, 2013 Accepting new patients
Carolinaeast Physicians Current Accepting new patients
Emergency Medicine Physicians of Craven County, PLLC CurrentSince Oct 1, 2024 Accepting new patients
St Luke's Hospital CurrentSince Dec 1, 2015 Accepting new patients
Tarheel Emergency Group, PLLC CurrentSince Sep 15, 2022 Accepting new patients
Emergency Medicine Physicians of Carteret County, PLLC CurrentSince Sep 19, 2024 Accepting new patients
Carolinaeast Physicians CurrentSince Jul 1, 2013 Accepting new patients
Kinston Physicians Group, PLLC CurrentSince Sep 15, 2022 Accepting new patients
Robeson Emergency Physicians, PLLC CurrentSince Sep 15, 2022 Accepting new patients
St. Luke's Hospital Past Accepting new patients
White Trillium Emergency Physicians LLC Past Accepting new patients

Locations

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: sstevens@slh.securechart.com

Organizations & group practices 12

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 9

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1114288768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602522",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602522",
            "telephone_number": "252-633-1010",
            "fax_number": "252-224-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MEDICAL LN",
            "city": "POLLOCKSVILLE",
            "state": "NC",
            "postal_code": "285738200",
            "telephone_number": "252-633-1010",
            "fax_number": "252-224-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "STANLEY",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pollocksville, NC

Sources for this page

Verify at the official NPI Registry.