Individual provider Active NPI

Mary Holmes, FNP

  • Family Nurse Practitioner
  • Moncure, NC
National Provider Identifier
1285060459
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006487 Issued in NC
Practice address
7228 Moncure Pittsboro Rd
Moncure, NC 27559-9595
Phone
(919) 542-4991
Fax
(919) 542-3726
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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 5006487 NC Primary

Addresses

Primary practice location

7228 Moncure Pittsboro Rd
Moncure, NC 27559-9595

Mailing address

PO Box 319
Moncure, NC 27559-0319
Phone (919) 542-4991

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
I20181114002438 NC Practitioner - Nurse Practitioner 5294965265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avance Care PAGroup PAC ID 3577634476, 244 clinicians

Practice addresses (Care Compare)

1821 Martin Luther King Pkwy
Durham, NC 27707-6336
Phone (919) 748-4990

Hospital & facility affiliations

  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5006487NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avance Care, PA CurrentSince Nov 1, 2018 Accepting new patients
Breakthrough Physical Therapy Inc PastSince Nov 1, 2018 Accepting new patients

Locations

9805 Sandy Rock Pl
Ste E
Charlotte, NC 28277
Phone (980) 580-0468

1821 Martin Luther King Pkwy
Durham, NC 27707
Phone (919) 748-4980

10900 World Trade Blvd
Raleigh, NC 27617
Phone (919) 237-1337

7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880

1621 S Providence Rd
Ste 370
Waxhaw, NC 28173
Phone (704) 520-7089

Interoperability endpoints

  • Direct secure messaging: mholmes34966@fastmed.direct-ci.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": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1285060459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 319",
            "city": "MONCURE",
            "state": "NC",
            "postal_code": "275590319",
            "telephone_number": "919-542-4991",
            "fax_number": "919-542-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7228 MONCURE PITTSBORO RD",
            "city": "MONCURE",
            "state": "NC",
            "postal_code": "275599595",
            "telephone_number": "919-542-4991",
            "fax_number": "919-542-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncure, NC

Sources for this page

Verify at the official NPI Registry.