Individual provider Active NPI

Tegan Marie Hadley, APN, FNP-C

  • Nurse Practitioner
  • Surf City, NC
National Provider Identifier
1275050718
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011229 Issued in NC
Practice address
13094 NC Highway 50
Surf City, NC 28445
Phone
(910) 390-6633
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011229 NC Primary

Addresses

Primary practice location

13094 NC Highway 50
Surf City, NC 28445

Mailing address

13094 NC Highway 50
Surf City, NC 28445
Phone (910) 222-7555

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
I20181217000975 NC Practitioner - Nurse Practitioner 2860758166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Comprehensive Care PLLCGroup PAC ID 8527597798, 4 clinicians

Practice addresses (Care Compare)

13094 NC Hwy 50
Surf City, NC 28445
Phone (910) 406-8428

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5011229NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Comprehensive Care, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Wilmington Health PLLC Past Accepting new patients

Locations

13094 NC Highway 50
Surf City, NC 28445
Phone (910) 222-7555

Interoperability endpoints

  • Direct secure messaging: tegan.hadley.1@32253.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1275050718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13094 NC HIGHWAY 50",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "28445",
            "telephone_number": "910-222-7555",
            "fax_number": "910-222-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13094 NC HIGHWAY 50",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "28445",
            "telephone_number": "910-390-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "TEGAN",
        "middle_name": "MARIE",
        "credential": "APN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surf City, NC

Sources for this page

Verify at the official NPI Registry.