NPIMap

Individual provider Active NPI

Rebecca Conway, ARNP

  • Family Nurse Practitioner
  • Huntersville, NC
National Provider Identifier
1154708071
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021684 Issued in NC
Practice address
16455 Statesville Rd Ste 280
Huntersville, NC 28078-7134
Phone
(980) 442-4600
Fax
(980) 442-4601
NPI assigned
Apr 29, 2015
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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 ARNP9247717 FL
Family Nurse Practitioner 363LF0000X 5021684 NC Primary

Addresses

Primary practice location

16455 Statesville Rd Ste 280
Huntersville, NC 28078-7134

Mailing address

16455 Statesville Rd Ste 208
Huntersville, NC 28078-7135
Phone (980) 442-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 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
I20150804004160 FL Practitioner - Nurse Practitioner 2466766498 Reassigns benefits to 1 organization
I20260217003002 NC Practitioner - Nurse Practitioner 2466766498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

16455 Statesville Rd
Suite 280
Huntersville, NC 28078-7134
Phone (980) 442-4600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9247717FLMDNurse Practitioner
5021684NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Jun 8, 2015 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 3, 2026 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 3, 2026 Accepting new patients

Locations

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

1970 Golf St
Sarasota, FL 34236
Phone (941) 957-1000

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

100 Medical Park Dr
Ste 110
Concord, NC 28025
Phone (704) 403-1370

16455 Statesville Rd
Ste 280
Huntersville, NC 28078
Phone (704) 295-3600

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rconway3001168@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

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 7

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1154708071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16455 STATESVILLE RD STE 208",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787135",
            "telephone_number": "980-442-4600",
            "fax_number": "980-442-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 STATESVILLE RD STE 280",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787134",
            "telephone_number": "980-442-4600",
            "fax_number": "980-442-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "REBECCA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9247717",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.