Active NPI
Anna Grace Stephenson, FNP
- Family Nurse Practitioner
- Erwin, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5020646
- Practice address
- 25 Professional Park
Erwin, NC 28339-9105 - Phone
- (910) 292-4097
- NPI assigned
- Jul 30, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5020646 | NC | Primary |
Addresses
Primary practice location
25 Professional Park
Erwin, NC 28339-9105
Mailing address
412 S Eastwood Dr
Benson, NC 27504-9355
Phone (919) 247-4090
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
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 James Ave
Locust, NC 28097-4506
Phone (704) 296-4508
4325 Lake Boone TRL
Suite 100
Raleigh, NC 27607-7510
Phone (800) 809-1265
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5020646 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainstreet and Kidsstreet of North Carolina PLLC | Current | Accepting new patients | |
| Mainstreet and Kidsstreet of North Carolina PLLC | Current | Accepting new patients | |
| Palmetto Infusion Services LLC | Current | Accepting new patients |
Locations
1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088
25 Professional Park
Erwin, NC 28339
Phone (910) 292-4097
130 James Ave
Locust, NC 28097
Phone (704) 271-3777
11009 Ingleside Pl
Ste 202
Raleigh, NC 27614
4325 Lake Boone Trl
Ste 100
Raleigh, NC 27607
1551 Westbrook Plaza Dr
Ste 100
Winston Salem, NC 27103
Phone (743) 999-7220
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.
-
- Urgent Care Clinic/Center
- Locust, NC
- NPI 1144803040
-
- Urgent Care Clinic/Center
- Burlington, NC
- NPI 1043170558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1306675079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 S EASTWOOD DR",
"city": "BENSON",
"state": "NC",
"postal_code": "275049355",
"telephone_number": "919-247-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 PROFESSIONAL PARK",
"city": "ERWIN",
"state": "NC",
"postal_code": "283399105",
"telephone_number": "910-292-4097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "ANNA",
"middle_name": "GRACE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5020646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erwin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.