Individual provider Active NPI

Audrey Meskill Wisner, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1215362116
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5006472 Issued in NC
Practice address
6224 Fayetteville Rd Ste 105
Durham, NC 27713-6288
Phone
(919) 439-6120
Fax
(919) 246-4420
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 126250 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5006472 NC Primary

Addresses

Primary practice location

6224 Fayetteville Rd Ste 105
Durham, NC 27713-6288

Mailing address

401 Keisler Dr Ste 100
Cary, NC 27518-7084
Phone (919) 439-6120

Other practice location 1

2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
Phone (919) 251-9001

Other practice location 2

401 Keisler Dr Ste 100
Cary, NC 27518-7084
Phone (919) 439-6120

Other names 1

  • Audrey Meskill 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
I20131106001081 NC Practitioner - Nurse Practitioner 5395970917 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6224 Fayetteville Rd
Suite 105
Durham, NC 27713-6288
Phone 91943961202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126250NCMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Outreach, LLC CurrentSince Oct 18, 2016 Accepting new patients
Triangle Springs Physician Group, LLC CurrentSince Apr 18, 2018 Accepting new patients
Alpha Psychiatric Associates, PLLC CurrentSince Sep 7, 2018 Accepting new patients
Alpha Psychiatric Associates, PLLC CurrentSince Sep 7, 2018 Accepting new patients
Carolina Outreach, LLC Current Accepting new patients
Apogee Behavioral Medicine PC PastSince Jun 16, 2024 Accepting new patients

Locations

401 Keisler Dr
Ste 100
Cary, NC 27518
Phone (919) 439-6120

6224 Fayetteville Rd
Ste 105
Durham, NC 27713
Phone (919) 429-6190

2670 Durham Chapel Hill Blvd
Durham, NC 27707
Phone (919) 251-9009

10901 World Trade Blvd
Raleigh, NC 27617
Phone (919) 272-1026

Organizations & group practices 6

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": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1215362116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 KEISLER DR STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187084",
            "telephone_number": "919-439-6120",
            "fax_number": "919-246-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 FAYETTEVILLE RD STE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136288",
            "telephone_number": "919-439-6120",
            "fax_number": "919-246-4420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2670 Durham Chapel Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277072829",
            "country_code": "US",
            "telephone_number": "919-251-9001",
            "fax_number": "919-251-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Keisler Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187084",
            "country_code": "US",
            "telephone_number": "919-439-6120",
            "fax_number": "919-246-4420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISNER",
        "first_name": "AUDREY",
        "middle_name": "MESKILL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "126250",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5006472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "MESKILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.