Individual provider Active NPI

Amy Neal, FNP-C

  • Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1306371521
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5009449 Issued in NC
Practice address
417 E Statesville Ave
Mooresville, NC 28115-2590
Phone
(704) 663-3063
NPI assigned
Apr 25, 2017
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5009449 NC Primary
Family Nurse Practitioner 363LF0000X 0024174670 VA

Addresses

Primary practice location

417 E Statesville Ave
Mooresville, NC 28115-2590

Mailing address

1100 Yadkinville Rd
Suite B
Mocksville, NC 27028-6945
Phone (336) 296-3101

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
I20170626001802 NC Practitioner - Nurse Practitioner 6709154289 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hildebran Medical Clinic LLCGroup PAC ID 2365481397, 4 clinicians

Practice addresses (Care Compare)

107 S Ctr St
Hildebran, NC 28637-8304
Phone (828) 397-3522

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024174670VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hildebran Medical Clinic, LLC CurrentSince Sep 1, 2024 Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Carolina Quickcare Family Practice, PLLC CurrentSince Mar 20, 2023 Accepting new patients

Locations

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578

955 2nd St NE
Hickory, NC 28601
Phone (828) 327-9679

107 S Center St
Hildebran, NC 28637
Phone (828) 397-3522

4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1306371521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 YADKINVILLE RD",
            "address_2": "SUITE B",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270286945",
            "telephone_number": "336-296-3101",
            "fax_number": "336-296-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E STATESVILLE AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152590",
            "telephone_number": "704-663-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "AMY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009449",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174670",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.