Active NPI
Jessica Blair Bell, ANP
- Adult Health Nurse Practitioner
- Red Springs, NC
National Provider Identifier
1285916783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5005323
- Practice address
- 302 Mount Tabor Rd
Red Springs, NC 28377-6415 - Phone
- (910) 227-2850
- Fax
- (910) 227-2847
- NPI assigned
- Sep 12, 2011
- Last updated
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 5005323 | NC | Primary |
Addresses
Primary practice location
302 Mount Tabor Rd
Red Springs, NC 28377-6415
Mailing address
60 Commerce Plaza Cir
Pembroke, NC 28372-7386
Phone (910) 521-2900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5005323 | Other | NC | NURSE PRACTITIONER LICENSE |
| 220162 | Other | NC | REGISTERED NURSE LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5005323 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| NM Pacs 2 LLC | Current | Accepting new patients |
Locations
1555 Willis Ave
Lumberton, NC 28358
Phone (910) 739-6048
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, 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": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1285916783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 COMMERCE PLAZA CIR",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727386",
"telephone_number": "910-521-2900",
"fax_number": "910-775-9165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 MOUNT TABOR RD",
"city": "RED SPRINGS",
"state": "NC",
"postal_code": "283776415",
"telephone_number": "910-227-2850",
"fax_number": "910-227-2847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "JESSICA",
"middle_name": "BLAIR",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5005323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LICENSE",
"identifier": "5005323",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "220162",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Red Springs, NC
- All Medicine Inc (Townsends Pharmacy)
- American Indian Mothers, Inc (Circle Of Life Health Services)
- Anchor Behavioral Health Center
- Kandice H Baye, PHARM. D.
- James Craig Bell, RPH
- Bio-Medical Applications of North Carolina, Inc. (Bio-Medical Applications of Red Springs)
- BL Apothecary (BL Pharmacy)
- Bright Light Counseling PLLC
- Bright Light Counseling PLLC
- Caring Hand Transportation Company LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.