Individual provider Active NPI

Shuhua Yin, NP

  • Family Nurse Practitioner
  • Elizabeth City, NC
National Provider Identifier
1144764960
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009162 Issued in NC
Practice address
905 Thunder Rd Ste 140
Elizabeth City, NC 27909-7672
Phone
(252) 334-0320
NPI assigned
Dec 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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 5009162 NC Primary

Addresses

Primary practice location

905 Thunder Rd Ste 140
Elizabeth City, NC 27909-7672

Mailing address

905 Thunder Rd Ste 140
Elizabeth City, NC 27909-7672
Phone (252) 334-0320

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170329000299 NC Practitioner - Nurse Practitioner 4880979145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

905 Thunder Rd
Elizabeth City, NC 27909-7672

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5009162NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Physician Services - Sentara, Inc CurrentSince Feb 20, 2017 Accepting new patients
Albemarle Physician Services - Sentara, Inc CurrentSince Feb 20, 2017 Accepting new patients

Locations

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

905 Thunder Rd
Ste 140
Elizabeth City, NC 27909
Phone (252) 334-0320

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

100 Medical Dr
Elizabeth Cty, NC 27909
Phone (252) 338-5183

1141 N Road St
Ste G
Elizabeth Cty, NC 27909
Phone (252) 335-5424

1141 N Road St
Elizabeth Cty, NC 27909
Phone (252) 331-1333

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

Interoperability endpoints

  • Direct secure messaging: yshuhua289382@direct.sentara.net

Organizations & group practices 2

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 1

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": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1144764960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 THUNDER RD STE 140",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097672",
            "telephone_number": "252-334-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 THUNDER RD STE 140",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097672",
            "telephone_number": "252-334-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIN",
        "first_name": "SHUHUA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.