NPIMap

Individual provider Active NPI

Mary Elizabeth Schultz-Villarreal, FNP-C

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1285982173
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005779 Issued in NC
Practice address
105 Roxie Ave
Fayetteville, NC 28304-2137
Phone
(910) 609-1880
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 724114 TX
Family Nurse Practitioner 363LF0000X 5005779 NC Primary
Nurse Practitioner 363L00000X 5005779 NC

Addresses

Primary practice location

105 Roxie Ave
Fayetteville, NC 28304-2137

Mailing address

105 Roxie Ave
Fayetteville, NC 28304-2137
Phone (910) 609-1880

Other practice location 1

1340 Walter Reed Rd Ste 101
Fayetteville, NC 28304-4451
Phone (910) 401-5425

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
I20160426002059 NC Practitioner - Nurse Practitioner 6406155456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Durham Medical Group PAGroup PAC ID 2365409588, 80 clinicians

Practice addresses (Care Compare)

1340 Walter Reed Rd
Suite 101
Fayetteville, NC 28304-4451
Phone (910) 401-5425

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
724114TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fayetteville Endocrinology and Diabetes Clinic PA Current Accepting new patients
Cape Fear Family Medical Care, PA Current Accepting new patients
Cape Fear Family Medical Care, PA CurrentSince Apr 4, 2016 Accepting new patients
Raleigh Durham Medical Group PA CurrentSince Oct 1, 2024 Accepting new patients
Raleigh Durham Medical Group PA CurrentSince Oct 1, 2024 Accepting new patients
Cape Fear Family Medical Care,PA CurrentSince Apr 4, 2016 Accepting new patients

Locations

97 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-0993

10620 Park Rd
Ste 128
Charlotte, NC 28210
Phone (704) 542-6111

105 Roxie Ave
Fayetteville, NC 28304
Phone (910) 609-1880

405 Owen Dr
Fayetteville, NC 28304
Phone (910) 323-3183

1340 Walter Reed Rd
Ste 202
Fayetteville, NC 28304
Phone (910) 504-3506

413 Owen Dr
Ste 202
Fayetteville, NC 28304
Phone (910) 323-3183

1340 Walter Reed Rd
Ste 101
Fayetteville, NC 28304
Phone (910) 401-5425

7124 US Highway 64 E
Knightdale, NC 27545
Phone (919) 266-6211

Interoperability endpoints

  • Direct secure messaging: mschultzvillarreal@cffmcpa.allscriptsdirect.net

Organizations & group practices 6

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1285982173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ROXIE AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042137",
            "telephone_number": "910-609-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ROXIE AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042137",
            "telephone_number": "910-609-1880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Walter Reed Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044451",
            "country_code": "US",
            "telephone_number": "910-401-5425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ-VILLARREAL",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "724114",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005779",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.