Individual provider Active NPI

Janice Allen Pulley, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Whiteville, NC
National Provider Identifier
1184923872
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005113 Issued in NC
Practice address
102 W Main St Ste a
Whiteville, NC 28472-4012
Phone
(910) 840-2154
Fax
(910) 207-6326
NPI assigned
Mar 21, 2011
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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 5005113 NC Primary

Addresses

Primary practice location

102 W Main St Ste a
Whiteville, NC 28472-4012

Mailing address

PO Box 2221
Whiteville, NC 28472-7221
Phone (910) 840-2154

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
I20120831000461 NC Practitioner - Nurse Practitioner 7719134402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pace Health Network LLCGroup PAC ID 2567742513, 8 clinicians

Practice addresses (Care Compare)

209 W Virgil St
Whiteville, NC 28472-4017
Phone (910) 640-2430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.75 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5005113NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pace Health Network, LLC CurrentSince Jun 19, 2017 Accepting new patients
Wilmar Counseling, PLLC CurrentSince Jan 10, 2021 Accepting new patients
Bladen Medical Associates Past Accepting new patients
Bladen Medical Associates Past Accepting new patients
Bladen Healthcare LLC Past Accepting new patients

Locations

102 W Main St
Ste A
Whiteville, NC 28472
Phone (910) 642-7463

209 W Virgil St
Whiteville, NC 28472
Phone (910) 640-2430

Organizations & group practices 5

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 1

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": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1184923872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2221",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284727221",
            "telephone_number": "910-840-2154",
            "fax_number": "910-207-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W MAIN ST STE A",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724012",
            "telephone_number": "910-840-2154",
            "fax_number": "910-207-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEY",
        "first_name": "JANICE",
        "middle_name": "ALLEN",
        "name_prefix": "Ms.",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.