Individual provider Active NPI

Nimeka Nitrice Dupree Phillip, M.D.

  • Hospitalist Physician
  • Hendersonville, NC
National Provider Identifier
1114388014
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A163662 Issued in CA
Practice address
2579 Chimney Rock Rd
Hendersonville, NC 28792-9181
Phone
(828) 692-4289
NPI assigned
Mar 19, 2016
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 229925 NC
Hospitalist Physician 208M00000X A163662 CA Primary

Addresses

Primary practice location

2579 Chimney Rock Rd
Hendersonville, NC 28792-9181

Mailing address

2579 Chimney Rock Rd
Hendersonville, NC 28792-9181
Phone (828) 696-1255

Other practice location 1

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-5611

Other practice location 2

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-5611

Other names 1

  • Nimeka Nitrice Dupree Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220104000916 CA Practitioner - HospitalistPractitioner - General PracticePractitioner - Internal MedicinePractitioner - Family Practice 6204168040 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: General Practice, Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ukiah Adventist HospitalGroup PAC ID 6406816123, shared by 5 NPIs, 136 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

260 Hospital Dr
Ukiah, CA 95482-4568

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

869 N Cherry St
Tulare, CA 93274-2207
Phone (559) 685-3462

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
229925NCMDFamily Medicine Physician
A163662CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Redwood Medical Group Inc Family Medicine CurrentSince Dec 9, 2021 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Feb 1, 2025 Accepting new patients
La Clinica de la Raza Inc Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jun 1, 2022 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jun 1, 2022 Accepting new patients
La Clinica de la Raza Inc CurrentSince Dec 1, 2025 Accepting new patients
Adventist Health Physicians Network Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
La Clinica de la Raza, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

2021 Main St
Oakley, CA 94561
Phone (925) 776-8200

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

260 Hospital Dr
Ste 103
Ukiah, CA 95482
Phone (707) 463-7490

260 Hospital Dr
Ste 204
Ukiah, CA 95482
Phone (707) 463-8032

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

220 Hospital Dr
Vallejo, CA 94589
Phone (707) 641-1900

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

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 3

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": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1114388014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 CHIMNEY ROCK RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287929181",
            "telephone_number": "828-696-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 CHIMNEY ROCK RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287929181",
            "telephone_number": "828-692-4289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26520 Cactus Ave",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925553927",
            "country_code": "US",
            "telephone_number": "951-486-5611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26520 Cactus Ave",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925553927",
            "country_code": "US",
            "telephone_number": "951-486-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIP",
        "first_name": "NIMEKA",
        "middle_name": "NITRICE DUPREE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-19",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "229925",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A163662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIMEKA",
            "last_name": "DUPREE",
            "middle_name": "NITRICE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.