Individual provider Active NPI

Raegan McNeil Church, FNP-C

  • Family Nurse Practitioner
  • Blowing Rock, NC
National Provider Identifier
1194324756
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013710 Issued in NC
Practice address
8439 Valley Blvd
Blowing Rock, NC 28605-8957
Phone
(828) 295-3116
NPI assigned
Oct 23, 2020
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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 5013710 NC Primary

Addresses

Primary practice location

8439 Valley Blvd
Blowing Rock, NC 28605-8957

Mailing address

310 Hospital Ave
Jefferson, NC 28640
Phone (336) 846-6322

Other practice location 1

310 Hospital Ave
Jefferson, NC 28640-2864
Phone (336) 846-6322

Other names 1

  • Jessica Raegan McNeil Former name

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
I20211216001819 NC Practitioner - Nurse Practitioner 5698166197 Reassigns benefits to 2 organizations

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
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, shared by 13 NPIs, 212 clinicians

Practice addresses (Care Compare)

270 Pine Mountain Rd
Suite 2
Hudson, NC 28638-2600
Phone (828) 757-6330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5013710NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Nov 8, 2023 Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince Nov 8, 2023 Accepting new patients
Ashe Memorial Hospital Inc CurrentSince Sep 10, 2021 Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Caldwell Memorial Hospital, Inc. Current Accepting new patients
Ashe Memorial Hospital Inc CurrentSince Sep 10, 2021 Accepting new patients
Caldwell Memorial Hospital, Inc. Current Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince Mar 3, 2024 Accepting new patients
Blowing Rock Medical Clinic PR Current Accepting new patients
Cardiology Physicians Corporation, LLC PastSince Oct 1, 2020 Accepting new patients
Caldwell Memorial Hospital, Inc Past Accepting new patients

Locations

8439 Valley Blvd
Blowing Rock, NC 28605
Phone (828) 295-3116

160 River Bend Dr
Ste A
Granite Falls, NC 28630
Phone (828) 757-5042

36 14th Ave NE
Ste 2B
Hickory, NC 28601
Phone (828) 757-5074

270 Pine Mountain Rd
Ste 2
Hudson, NC 28638
Phone (828) 757-6330

1731 Connelly Springs Rd
Lenoir, NC 28645
Phone (828) 728-3362

322 Mulberry St SW
Ste A
Lenoir, NC 28645
Phone (828) 757-6400

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Organizations & group practices 12

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1194324756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HOSPITAL AVE",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "28640",
            "telephone_number": "336-846-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8439 VALLEY BLVD",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286058957",
            "telephone_number": "828-295-3116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "NC",
            "postal_code": "286402864",
            "country_code": "US",
            "telephone_number": "336-846-6322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "RAEGAN",
        "middle_name": "MCNEIL",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MCNEIL",
            "middle_name": "RAEGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blowing Rock, NC

Sources for this page

Verify at the official NPI Registry.