Winnie Momanyi
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Garner, NC
NPI 1194471870 · NPPES record last updated May 16, 2022
Key facts
- NPI
- 1194471870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 5016122 (NC)
- Practice address
- 103 Ravencliff RDG
Garner, NC 27529-9261 - Phone
- (201) 668-7528
- NPI assigned
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acceptance Pathway Psychiatry PLLC
Practice addresses (Care Compare)
2501 Bragg Blvd
Suite a
Fayetteville, NC 28303-4141
Phone (910) 946-5676
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20220728000599 | NC | Practitioner - Nurse Practitioner | 6901288653 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NM Pacs 2 LLC | Current |
Accepting new patients | |
| Inpatient Consultants of North Carolina, PC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Opportunities Industrialization Center, Inc | Current |
Accepting new patients | |
| Inpatient Consultants of North Carolina, PC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Opportunities Industrialization Center, Inc. | Current |
Accepting new patients | |
| Acceptance Pathway Psychiatry PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
2501 Bragg Blvd
#A
Fayetteville, NC 28303
Phone (910) 946-5676
707 N Elm St
High Point, NC 27262
Phone (336) 885-0141
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
90 Guardian Ct
Rocky Mount, NC 27804
Phone (252) 212-3350
179 Combs St
Sparta, NC 28675
Phone (336) 372-2441
Interoperability endpoints
- wmomanyi570213@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5016122 | NC | Yes |
Addresses
Primary practice location
103 Ravencliff RDG
Garner, NC 27529-9261
Mailing address
103 Ravencliff RDG
Garner, NC 27529-9261
Phone (201) 668-7528
Other providers in Garner, NC
- Mind & Soul Wellness PLLC
- Mireeco LLC
- Stephen Miura
- Elizabeth Lee Mizelle
- MKP Transportation LLC
- Caitlin Drennan Monaco
- Monarch
- Monarch
- Monarch
- Adam C Moore
All providers in Garner, NC · Psychiatric/Mental Health 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 May 16, 2022. 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.