Mary Ellen Prevost, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0050-00029 Issued in NC

Practice address

1511 Westover Ter
Suite 201
Greensboro, NC 27408-7128

Phone

(336) 373-0611

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greensboro Medical Associates, P.a.Group PAC ID 6406751460, 9 clinicians

DRX High Point PLLCGroup PAC ID 7113061730, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Well Care Home Health of the Triad Inc Home health agency, Advance, NC, CCN 347051

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.prevost@gsoma.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BAIIBA

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.

• DRX High Point, PLLC

  • Multi-Specialty Clinic/Center
  • High Point, NC
  • NPI 1669701306
  Medicare reassignment Care Compare group NPD
• Greensboro Medical Associates, P.a.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1336102078
  Medicare reassignment Care Compare group NPD

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

• Well Care Home Health of the Triad

  • Home Health Agency
  • Advance, NC
  • NPI 1952342784
  Care Compare affiliation

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1306975974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 WESTOVER TER",
            "address_2": "SUITE 201",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087128",
            "telephone_number": "336-373-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 WESTOVER TER",
            "address_2": "SUITE 201",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087128",
            "telephone_number": "336-373-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVOST",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "153275",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "0050-00029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZF0000184",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prestige Transit Pro LLC
• Prestige Transport Services LLC
• Jennifer Preston
• John Preston, M.A.
• Jennifer Capps Prevatt, MSW, LCSW
• Brittany T. Price, ATC
• Darlene Annette Price, COTA/L
• Keely Caddell Price, DPT
• Sarah Grace Cilanne Price
• T'Nai Ashanti Price, APRN, PMHNP-BC

• Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.

Verify at the official NPI Registry.