NPIMap

Individual provider Active NPI

Jessica Potter Wesson, DNP-AGNP

  • Adult Health Nurse Practitioner
  • Lenoir, NC
National Provider Identifier
1265003909
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5014695 Issued in NC
Practice address
212 Mulberry St SW
Lenoir, NC 28645-5414
Phone
(828) 759-4960
Fax
(828) 759-4960
NPI assigned
Jul 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X WESS-7144N NC
Adult Health Nurse Practitioner 363LA2200X 5014695 NC Primary

Addresses

Primary practice location

212 Mulberry St SW
Lenoir, NC 28645-5414

Mailing address

212 Mulberry St SW
Lenoir, NC 28645-5414
Phone (828) 759-4960

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwesson118347@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211118003135 NC Practitioner - Nurse Practitioner 7113316720 Reassigns benefits to 1 organization

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
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, 212 clinicians

Practice addresses (Care Compare)

212 Mulberry St SW
Lenoir, NC 28645-5414
Phone (828) 757-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WESS-7144NNCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital Inc. CurrentSince Nov 1, 2021 Accepting new patients
Caldwell Memorial Hospital, Inc. Current Accepting new patients
Caldwell Memorial Hospital, Inc. Current Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Caldwell Memorial Hospital, Inc Past Accepting new patients

Locations

160 River Bend Dr
Ste D
Granite Falls, NC 28630
Phone (828) 759-4960

212 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

Interoperability endpoints

  • Direct secure messaging: jwesson118347@direct.unc.nchie.net

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1265003909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MULBERRY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455414",
            "telephone_number": "828-759-4960",
            "fax_number": "828-759-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MULBERRY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455414",
            "telephone_number": "828-759-4960",
            "fax_number": "828-759-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSON",
        "first_name": "JESSICA",
        "middle_name": "POTTER",
        "credential": "DNP-AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-04",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "WESS-7144N",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5014695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwesson118347@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "212 Mulberry St SW",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.