Individual provider Active NPI

Victoria Hedwin, FNP-C

  • Family Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1174362735
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5020108 Issued in NC
Practice address
1839 Onslow Dr, Jacksonville
Jacksonville, NC 28540
Phone
(910) 455-3610
NPI assigned
May 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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 5020108 NC Primary

Addresses

Primary practice location

1839 Onslow Dr, Jacksonville
Jacksonville, NC 28540

Mailing address

9182 Spivey CT NE.
Leland, NC 28451
Phone (518) 420-5508

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
I20240823000131 NC Practitioner - Nurse Practitioner 2769921675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Comprehensive Care PLLCGroup PAC ID 8527597798, 4 clinicians

Practice addresses (Care Compare)

13094 NC Hwy 50
Surf City, NC 28445
Phone (910) 406-8428

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Comprehensive Care, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Theoria Medical Past Accepting new patients

Locations

13094 NC Highway 50
Surf City, NC 28445
Phone (910) 222-7555

Interoperability endpoints

  • Direct secure messaging: victoria.hedwin.1@32253.direct.athenahealth.com
  • Direct secure messaging: vhedwin1658922@direct.novanthealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1174362735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9182 SPIVEY CT NE.",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "28451",
            "telephone_number": "518-420-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 ONSLOW DR, JACKSONVILLE",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28540",
            "telephone_number": "910-455-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDWIN",
        "first_name": "VICTORIA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.