Individual provider Active NPI

Janet Kemunto Ongechi

  • Family Nurse Practitioner
  • Fuquay Varina, NC
National Provider Identifier
1255977526
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
227053 Issued in NC
Practice address
410 S Judd Pkwy SE
Fuquay Varina, NC 27526-6953
Phone
(763) 222-0963
NPI assigned
Nov 21, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 227053 NC Primary

Addresses

Primary practice location

410 S Judd Pkwy SE
Fuquay Varina, NC 27526-6953

Mailing address

7161 Rex Rd
Holly Springs, NC 27540-6457
Phone (763) 222-6096

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
I20200302001156 NC Practitioner - Nurse Practitioner 2567899628 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triangle Geriatric and Memory Clinic PLLCGroup PAC ID 8325271299, 3 clinicians
M Medical NC PLLCGroup PAC ID 3870035066, 32 clinicians

Practice addresses (Care Compare)

10640 Durant Rd
Suite 101
Raleigh, NC 27614-6566
Phone (919) 870-0197

17 Cornelia St
Lexington, NC 27292-4140
Phone (410) 870-9380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227053NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Geriatric and Memory Clinic, PLLC CurrentSince Nov 7, 2023 Accepting new patients
Theoria Medical CurrentSince Aug 2, 2023 Accepting new patients
Comprehensive Care Services CurrentSince Jan 16, 2024 Accepting new patients
M Medical NC PLLC CurrentSince Jul 1, 2024 Accepting new patients
Choice Consulting Services, PLLC CurrentSince Jan 2, 2020 Accepting new patients
Theoria Medical Past Accepting new patients
Capital Primary Care PastSince Aug 27, 2023 Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

410 S Judd Pkwy SE
Fuquay Varina, NC 27526
Phone (919) 577-0421

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

17 Cornelia St
Lexington, NC 27292
Phone (336) 242-1349

1995 E Cornelius Harnett Blvd
Lillington, NC 27546
Phone (910) 814-0880

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

10640 Durant Rd
Ste 101
Raleigh, NC 27614
Phone (919) 319-6610

8200 Litchford Rd
Raleigh, NC 27615
Phone (919) 878-7772

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1255977526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7161 REX RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406457",
            "telephone_number": "763-222-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S JUDD PKWY SE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275266953",
            "telephone_number": "763-222-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONGECHI",
        "first_name": "JANET",
        "middle_name": "KEMUNTO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "227053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

Verify at the official NPI Registry.