Individual provider Active NPI

Mintoria Lynette Stockton, APRN, FNP-C

  • Family Nurse Practitioner
  • Knightdale, NC
National Provider Identifier
1316561178
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014239 Issued in NC
Practice address
901 Old Knight Rd
Knightdale, NC 27545-9065
Phone
(919) 266-6211
Fax
(919) 350-9824
NPI assigned
Jun 7, 2020
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5014239 NC Primary
Family Nurse Practitioner 363LF0000X 0024194839 VA

Addresses

Primary practice location

901 Old Knight Rd
Knightdale, NC 27545-9065

Mailing address

901 Old Knight Rd
Knightdale, NC 27545-9065
Phone (919) 266-6211

Other practice location 1

781 Avent Ferry Rd Ste 102
Holly Springs, NC 27540-7776
Phone (919) 567-6120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mstockton114582@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210505002944 NC Practitioner - Nurse Practitioner 6002225927 Reassigns benefits to 1 organization
I20230119000264 TX Practitioner - Nurse Practitioner 6002225927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

781 Avent Ferry Rd
Suite 102
Holly Springs, NC 27540-7776
Phone (919) 567-6120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5014239NCMDFamily Nurse Practitioner
0024194839VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC CurrentSince Jun 1, 2025 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Oct 12, 2022 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Aug 3, 2023 Accepting new patients
US Health Dept of Health & Human Services CurrentSince Oct 12, 2022 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Wake Specialty Physicians, LLC Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

107 H St
Poplar, MT 59255
Phone (406) 738-3491

781 Avent Ferry Rd
Ste 102
Holly Springs, NC 27540
Phone (919) 567-6120

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

1300 Hospital Loop
Belcourt, ND 58316

4100 W 150th St
#3
Cleveland, OH 44135

Interoperability endpoints

  • Direct secure messaging: mstockton114582@direct.unc.nchie.net

Organizations & group practices 7

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 2

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": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1316561178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 OLD KNIGHT RD",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459065",
            "telephone_number": "919-266-6211",
            "fax_number": "919-350-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 OLD KNIGHT RD",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459065",
            "telephone_number": "919-266-6211",
            "fax_number": "919-350-9824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "781 Avent Ferry Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275407776",
            "country_code": "US",
            "telephone_number": "919-567-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKTON",
        "first_name": "MINTORIA",
        "middle_name": "LYNETTE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-07",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014239",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024194839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstockton114582@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "781 Avent Ferry Rd Ste 102",
            "city": "Holly Springs",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275407776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

Verify at the official NPI Registry.