Michelle Lee Stroup, FNP
Individual provider Active NPI Family Nurse Practitioner · Apex, NC
NPI 1174155683 · NPPES record last updated Nov 4, 2021
Key facts
- NPI
- 1174155683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5012858 (NC)
- Practice address
- 9764 Holly Springs Rd
Apex, NC 27539 - Phone
- (910) 486-6818
- NPI assigned
- Feb 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advance Community Health Inc
Practice addresses (Care Compare)
1001 Rock Quarry Rd
Raleigh, NC 27610-3825
1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200414003846 | NC | Practitioner - Nurse Practitioner | 2466882451 | Reassigns benefits to 4 organizations |
| I20230112001992 | NY | Practitioner - Nurse Practitioner | 2466882451 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256650 | NC | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Medical Center, Incorporated | Current | Accepting new patients | |
| Goshen Medical Center, Inc. | Current |
Accepting new patients | |
| Neighborhood Urgent Care PLLC | Current |
Accepting new patients | |
| Painting Miracles Inc. | Current |
Accepting new patients | |
| Goshen Medical Center Incorporated | Current |
Accepting new patients | |
| Southern Tier Medical Care - Ny PC | Current |
Accepting new patients | |
| Advance Community Health, Inc | Current |
Accepting new patients | |
| Advance Community Health, Inc | Past | Accepting new patients |
Locations
1624 White Oak Church Rd
Apex, NC 27523
Phone (910) 486-6818
9764 Holly Springs Rd
Apex, NC 27539
Phone (919) 557-6667
444 SW Center St
Faison, NC 28341
Phone (910) 267-0421
1248 Fort Bragg Rd
Ste 200
Fayetteville, NC 28305
Phone (910) 486-6818
3613 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 354-1720
3400 Walsh Pkwy
Ste 115B
Fayetteville, NC 28311
Phone (910) 339-2121
2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721
1430 S Wilmington St
Raleigh, NC 27603
1011 Rock Quarry Rd
Raleigh, NC 27610
1001 Rock Quarry Rd
Raleigh, NC 27610
Phone (919) 250-2934
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
3005 Watkins Rd
Horseheads, NY 14845
Phone (607) 378-6673
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DDDAED/Endpoint/DDDAED
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 256650 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5012858 | NC | Yes |
Addresses
Primary practice location
9764 Holly Springs Rd
Apex, NC 27539
Mailing address
9764 Holly Springs Rd
Apex, NC 27539-7620
Phone (919) 557-6667
Other providers in Apex, NC
- Lillian Lorraine East Stocks
- Deonni Pamela Stolldorf
- Susan Iris Stone
- Stonebridge Counseling PLLC
- Megan G Strasser
- James Raymond Strunk
- Karen W Suarez
- Adria Sullivan
- Laura Nastassja Sullivan
- Ayesha Sultana
All providers in Apex, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.