Individual provider Active NPI

Mary Clayton Federspiel, CPNP

  • Pediatric Nurse Practitioner
  • Chapel Hill, NC
National Provider Identifier
1225371388
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5006117 Issued in NC
Practice address
Pediatric Cardiology 101 Manning Dr
Room MG 140, CB#7232
Chapel Hill, NC 27599-7232
Phone
(919) 966-4601
Fax
(919) 966-6894
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5006117 NC Primary

Addresses

Primary practice location

Pediatric Cardiology 101 Manning Dr
Room MG 140, CB#7232
Chapel Hill, NC 27599-7232

Mailing address

1127 Vermillion Dr.
Durham, NC 27713
Phone (919) 338-2568

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
I20200129000577 NC Practitioner - Nurse Practitioner 2264868918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5006117NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Dec 2, 2019 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Dec 2, 2019 Accepting new patients
Park Ophthalmology Past Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients

Locations

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

300 Market St
Ste 134
Chapel Hill, NC 27516
Phone (919) 228-2432

6011 Farrington Rd
Ste 101
Chapel Hill, NC 27517
Phone (984) 974-6599

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

Interoperability endpoints

  • Direct secure messaging: mfederspiel17236@direct.unc.nchie.net

Organizations & group practices 4

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1225371388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 VERMILLION DR.",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-338-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEDIATRIC CARDIOLOGY 101 MANNING DR",
            "address_2": "ROOM MG 140, CB#7232",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997232",
            "telephone_number": "919-966-4601",
            "fax_number": "919-966-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERSPIEL",
        "first_name": "MARY",
        "middle_name": "CLAYTON",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5006117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.