Individual provider Active NPI

Michelle Lee Stroup, FNP

  • Family Nurse Practitioner
  • Apex, NC
National Provider Identifier
1174155683
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012858 Issued in NC
Practice address
9764 Holly Springs Rd
Apex, NC 27539
Phone
(910) 486-6818
NPI assigned
Feb 12, 2020
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 256650 NC
Family Nurse Practitioner 363LF0000X 5012858 NC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NY2 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
I20200414003846 NC Practitioner - Nurse Practitioner 2466882451 Reassigns benefits to 4 organizations
I20230112001992 NY Practitioner - Nurse Practitioner 2466882451

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Community Health IncGroup PAC ID 3577471697, 32 clinicians

Practice addresses (Care Compare)

1001 Rock Quarry Rd
Raleigh, NC 27610-3825

1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256650NCMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Urgent Care PLLC CurrentSince Jul 1, 2021 Accepting new patients
Southern Tier Medical Care - Ny PC CurrentSince Jan 23, 2023 Accepting new patients
Goshen Medical Center, Inc. CurrentSince Feb 5, 2021 Accepting new patients
Advance Community Health, Inc CurrentSince Jun 2, 2025 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Feb 5, 2021 Accepting new patients
Painting Miracles Inc. CurrentSince Jan 1, 2024 Accepting new patients
Goshen Medical Center, Incorporated 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 (919) 267-0421

1248 Fort Bragg Rd
Ste 200
Fayetteville, NC 28305
Phone (910) 339-2121

3400 Walsh Pkwy
Ste 115B
Fayetteville, NC 28311
Phone (910) 339-2121

3613 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 354-1720

1001 Rock Quarry Rd
Raleigh, NC 27610
Phone (919) 250-2934

1011 Rock Quarry Rd
Raleigh, NC 27610

1430 S Wilmington St
Raleigh, NC 27603

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

3005 Watkins Rd
Horseheads, NY 14845
Phone (607) 378-6673

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDDAED/Endpoint/DDDAED

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1174155683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9764 HOLLY SPRINGS RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275397620",
            "telephone_number": "919-557-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9764 HOLLY SPRINGS RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "27539",
            "telephone_number": "910-486-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUP",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NC",
            "license": "256650",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.