Active NPI
Jacquelyn Alyse Vogel, DNP, FNP-BC
- Nurse Practitioner
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5015036
- Practice address
- 114 W 30TH St Ste 800
Winston Salem, NC 27105-4269 - Phone
- (336) 277-2680
- Fax
- (336) 277-2689
- NPI assigned
- Sep 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5015036 | NC | |
| Nurse Practitioner | 363L00000X | 5015036 | NC | Primary |
Addresses
Primary practice location
114 W 30TH St Ste 800
Winston Salem, NC 27105-4269
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
2994 Kildaire Farm Rd
Cary, NC 27518-9614
Phone (401) 765-1500
Other practice location 2
16623 Birkdale Commons Pkwy Ste 110
Huntersville, NC 28078-5622
Phone (704) 820-4197
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000
10816 Black Dog LN
Suite 160
Charlotte, NC 28214-1479
Phone (704) 316-3970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5015036 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients |
Locations
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
10816 Black Dog Ln
Ste 160
Charlotte, NC 28214
Phone (704) 316-3970
114 W 30th St
Ste 800
Winston Salem, NC 27105
Phone (336) 277-2000
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
2001 Todays Woman Ave
Winston Salem, NC 27105
Phone (336) 722-1818
652 E Monmouth St
Winston Salem, NC 27107
Phone (336) 718-4390
Interoperability endpoints
- jsmith677249@direct.novanthealth.org
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1225706237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 W 30TH ST STE 800",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271054269",
"telephone_number": "336-277-2680",
"fax_number": "336-277-2689"
}
],
"practiceLocations": [
{
"address_1": "2994 Kildaire Farm Rd",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275189614",
"country_code": "US",
"telephone_number": "401-765-1500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16623 Birkdale Commons Pkwy Ste 110",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280785622",
"country_code": "US",
"telephone_number": "704-820-4197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOGEL",
"first_name": "JACQUELYN",
"middle_name": "ALYSE",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5015036",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5015036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.