Active NPI
Rebecca Lee Strunk-Lail, PA-C
- Medical Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0010-05677
- Practice address
- 1211 N. Community House Rd
Charlotte, NC 28277 - Phone
- (704) 544-8200
- Fax
- (704) 544-8300
- NPI assigned
- Apr 9, 2015
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-05677 | NC | Primary |
Addresses
Primary practice location
1211 N. Community House Rd
Charlotte, NC 28277
Mailing address
914 E 35TH St
Charlotte, NC 28205-1611
Phone (434) 774-4144
Other practice location 1
3006 Baucom Rd
Suite 100
Charlotte, NC 28269-6762
Phone (704) 596-1787
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10502 Park Rd
Suite 100
Charlotte, NC 28210-6569
Phone (980) 299-3926
11040 S Tryon St
Suite 203
Charlotte, NC 28273-4616
Phone (704) 771-1161
11040 S Tryon St
Suite 203
Charlotte, NC 28273-7152
Phone (704) 587-3200
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.53 of 100
- Quality
- 91.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-05677 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrolina Dermatology and Skin Surgery Specialists, PLLC | Current | Accepting new patients |
Locations
10502 Park Rd
Ste 100
Charlotte, NC 28210
Phone (704) 541-9092
11040 S Tryon St
Ste 203
Charlotte, NC 28273
Phone (704) 587-3200
Organizations & group practices 3
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.
-
- Dermatology Physician
- Charlotte, NC
- NPI 1619400033
-
- Dermatology Physician
- Charlotte, NC
- NPI 1447597752
-
- Specialist
- Charlotte, NC
- NPI 1538125729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1306232079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 E 35TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282051611",
"telephone_number": "434-774-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 N. COMMUNITY HOUSE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28277",
"telephone_number": "704-544-8200",
"fax_number": "704-544-8300"
}
],
"practiceLocations": [
{
"address_1": "3006 Baucom Rd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282696762",
"country_code": "US",
"telephone_number": "704-596-1787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRUNK-LAIL",
"first_name": "REBECCA",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-05677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.