Individual provider Active NPI

Cameron Phillips, FNP-C

  • Nurse Practitioner
  • Wolfeboro, NH
National Provider Identifier
1144759960
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5009541 Issued in NC
Practice address
240 S Main St
Wolfeboro, NH 03894-4455
Phone
(603) 569-7500
NPI assigned
Jun 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5009541 NC
Family Nurse Practitioner 363LF0000X 262358 NC
Nurse Practitioner 363L00000X 5009541 NC Primary
Nurse Practitioner 363L00000X 116817-23 NH

Addresses

Primary practice location

240 S Main St
Wolfeboro, NH 03894-4455

Mailing address

240 S Main St
Wolfeboro, NH 03894-4664
Phone (603) 569-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NH2 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
I20170724000171 NC Practitioner - Nurse Practitioner 5193095297 Reassigns benefits to 3 organizations
I20260403001552 NH Practitioner - Nurse Practitioner 5193095297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians

Practice addresses (Care Compare)

10188 N Main St
Archdale, NC 27263-2906
Phone (336) 802-2070

601 N Elm St
High Point, NC 27262-4331
Phone (336) 716-2734

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5009541NCMDEmergency Medicine Physician
116817-23NHMDNurse Practitioner
262358NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network LLC Current Accepting new patients
Wake Forest University Health Sciences CurrentSince Sep 1, 2018 Accepting new patients
CDT Healthcare CurrentSince Jan 25, 2018 Accepting new patients
CDT Healthcare Emergency Medicine CurrentSince Jan 25, 2018 Accepting new patients
Wake Forest Health Network LLC CurrentSince Sep 1, 2019 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Sep 1, 2019 Accepting new patients
Wake Forest Health Network LLC Past Accepting new patients
Cornerstone Health Care LLC Past Accepting new patients

Locations

10188 N Main St
Archdale, NC 27263
Phone (336) 802-2070

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

101 Walmart Supercenter
Siler City, NC 27344
Phone (919) 663-3911

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Interoperability endpoints

  • Direct secure messaging: cphillips2753393@carolinashealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1144759960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944664",
            "telephone_number": "603-569-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944455",
            "telephone_number": "603-569-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "5009541",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "262358",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009541",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "116817-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

Verify at the official NPI Registry.