Jenifer Phelps, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

900221 Issued in NC

Practice address

4810 Wrightsville Ave
The Presbyterian Counseling Center
Wilmington, NC 28403-6917

Phone

(910) 452-7370

Fax

(910) 798-5199

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: jenifer.phelps@the-healing-partnership.direct.kno2fy.com

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.

• Jenifer Phelps, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, NC
  • NPI 1174915185
  NPD (past) Authorized official
• Community Counseling Center

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1316177173
  NPD (past)
• Presbyterian Counseling Center

  • Counselor
  • Wilmington, NC
  • NPI 1396893848
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1205856408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 NETTLE CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053782",
            "telephone_number": "910-790-9103",
            "fax_number": "910-798-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 WRIGHTSVILLE AVE",
            "address_2": "THE PRESBYTERIAN COUNSELING CENTER",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036917",
            "telephone_number": "910-452-7370",
            "fax_number": "910-798-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JENIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "900221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010064352",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000680",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Gayle Pfitzer, PA-C
• Adam Pflum, M.D.
• Phelps & Phelps, DDS, PA
• Brian S. Phelps, CRNA
• Daniel D. Phelps, DDS
• Lisa E Phelps, DDS
• Cody Clinton Phen, DMD
• Whitney Andringa Philemon, MSW, LCSW
• Bridgette Philibert
• Phillip J Kohut DMD PLLC

• Nurse Practitioner in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.