Nicole Blue, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5010081 Issued in NC

Practice address

2151 Skibo Rd
Fayetteville, NC 28314-0252

Phone

(910) 689-5333

NPI assigned

Nov 28, 2017

Last updated

Dec 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carter Clinic, P aGroup PAC ID 1254429921, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carter Clinic, P a

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1912959834
  Medicare reassignment Care Compare group
• Bicycle Health Medical Group PA

  • Addiction Medicine (Family Medicine) Physician
  • Seattle, WA
  • NPI 1194342162

  NC

  Medicare reassignment NPD
• Carter Clinic PA

  • Psychiatry Physician
  • Smithfield, NC
  • NPI 1477810034
  NPD (past)
• Carter Clinic PA

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1972990877
  NPD (past)
• Carter Clinic, P.a.

  • Psychiatry Physician
  • Kinston, NC
  • NPI 1982298261
  NPD (past)
• Carter Clinic, PA

  • Psychiatry Physician
  • Dunn, NC
  • NPI 1215461231
  NPD (past)
• Bicycle Health Provider Group Inc.

  • Addiction Medicine (Family Medicine) Physician
  • San Jose, CA
  • NPI 1356817886
  NPD (past)

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1285148312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 CHERRY HILL LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283127627",
            "telephone_number": "910-718-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 SKIBO RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140252",
            "telephone_number": "910-689-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Nicole Blue, LCSWA
• Diamond Blue
• Escada Blue
• Evelyn Denise Blue
• Neil Blue, LPC
• Rachelle Brooks Blue, LPC
• Bluewest/Lab LLC
• Derek Oteng Boateng, RPH
• Joel Boateng
• Bob Inman Incorporated (Inman Home Health)

• Family Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.

Verify at the official NPI Registry.