NPIMap

Individual provider Active NPI

Markiesha Willette Edgerton, NP

  • Nurse Practitioner
  • Smithfield, NC
National Provider Identifier
1326420928
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5007689 Issued in NC
Practice address
250 NC-210
Smithfield, NC 27577
Phone
(919) 989-4848
NPI assigned
Jun 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 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 5007689 NC Primary
Women's Health Nurse Practitioner 363LW0102X 5007689 NC

Addresses

Primary practice location

250 NC-210
Smithfield, NC 27577

Mailing address

100 River Watch LN
Youngsville, NC 27596-7569
Phone (919) 740-5171

Other practice location 1

100 Sunset Dr
Youngsville, NC 27596-9403
Phone (919) 562-5550

Other practice location 2

84 Johnson Estate Rd
Clayton, NC 27520-9289
Phone (919) 359-3878

Other practice location 3

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 231-6132

Other identifiers 1

IdentifierTypeStateIssuer
1326420928MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medgerton174025@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028000155 NC Practitioner - Nurse Practitioner 2668781931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakemed Specialists Group LLC 868 clinicians
North Carolina MG LLC 723 clinicians

Practice addresses (Care Compare)

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7270

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (984) 215-4000

Hospital & facility affiliations

  • Johnston Health Hospital, Smithfield, NC, CCN 340090
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5007689NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince May 19, 2024 Accepting new patients
North Carolina MG, LLC CurrentSince Jun 1, 2025 Accepting new patients
Raleigh Cardiology Associates, PA Current Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Wakemed Specialists Group, LLC CurrentSince May 19, 2024 Accepting new patients

Locations

2138 Veterans Pkwy
Clayton, NC 27520
Phone (919) 585-8000

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

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

8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953

910 Berkshire Rd
Smithfield, NC 27577
Phone (919) 989-7909

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1326420928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVER WATCH LN",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275967569",
            "telephone_number": "919-740-5171",
            "fax_number": "949-437-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NC-210",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "27577",
            "telephone_number": "919-989-4848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Youngsville",
            "state": "NC",
            "postal_code": "275969403",
            "country_code": "US",
            "telephone_number": "919-562-5550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "84 Johnson Estate Rd",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275209289",
            "country_code": "US",
            "telephone_number": "919-359-3878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101231",
            "country_code": "US",
            "telephone_number": "919-231-6132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDGERTON",
        "first_name": "MARKIESHA",
        "middle_name": "WILLETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007689",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5007689",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326420928",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medgerton174025@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "910 Berkshire Rd",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275774751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.