NPIMap

Individual provider Active NPI

Jessica Reed Church

  • Nurse Practitioner
  • Ferguson, NC
National Provider Identifier
1154214724
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5022214 Issued in NC
Practice address
171 W Wilkes Medical Center Rd
Ferguson, NC 28624-8925
Phone
(336) 973-9378
Fax
(336) 973-9370
NPI assigned
Jun 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5022214 NC Primary
Family Nurse Practitioner 363LF0000X 5022214 NC

Addresses

Primary practice location

171 W Wilkes Medical Center Rd
Ferguson, NC 28624-8925

Mailing address

171 W Wilkes Medical Center Rd
Ferguson, NC 28624-8925
Phone (336) 973-9378

Other practice location 1

306 College St
Wilkesboro, NC 28697-2854
Phone (336) 651-7460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251121000081 NC Practitioner - Nurse Practitioner 0446742027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wake Forest University Health Sciences 2,633 clinicians

Practice addresses (Care Compare)

171 W Wilkes Medical Ctr Rd
Ferguson, NC 28624-8925
Phone (336) 973-9378

Hospital & facility affiliations

  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5022214NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Wilkes CurrentSince Aug 1, 2025 Accepting new patients
County of Wilkes Current Accepting new patients
Wake Forest University Health Sciences CurrentSince Jan 12, 2026 Accepting new patients

Locations

171 W Wilkes Medical Center Rd
Ferguson, NC 28624
Phone (336) 973-7050

1404 Willow Ln
Ste A
North Wilkesboro, NC 28659
Phone (336) 667-4178

306 College St
Wilkesboro, NC 28697
Phone (336) 651-7450

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

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1154214724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 W WILKES MEDICAL CENTER RD",
            "city": "FERGUSON",
            "state": "NC",
            "postal_code": "286248925",
            "telephone_number": "336-973-9378",
            "fax_number": "336-973-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 W WILKES MEDICAL CENTER RD",
            "city": "FERGUSON",
            "state": "NC",
            "postal_code": "286248925",
            "telephone_number": "336-973-9378",
            "fax_number": "336-973-9370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 College St",
            "address_purpose": "LOCATION",
            "city": "Wilkesboro",
            "state": "NC",
            "postal_code": "286972854",
            "country_code": "US",
            "telephone_number": "336-651-7460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "JESSICA",
        "middle_name": "REED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5022214",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferguson, NC

Sources for this page

Verify at the official NPI Registry.