Individual provider Active NPI

Angela Bontee Hilburn

  • Nurse Practitioner
  • Whiteville, NC
National Provider Identifier
1346993284
Registry record updated Nov 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5015828 Issued in NC
Practice address
46 McNeill PLZ
Whiteville, NC 28472-8602
Phone
(910) 642-5808
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5015828 NC Primary

Addresses

Primary practice location

46 McNeill PLZ
Whiteville, NC 28472-8602

Mailing address

46 McNeill PLZ
Whiteville, NC 28472-8602
Phone (910) 918-1037

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
I20250109002327 NC Practitioner - Nurse Practitioner 5799213351 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5015828NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Healthcare Group LLC CurrentSince Nov 1, 2024 Accepting new patients
Liberty Healthcare Group, LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

46 McNeill Plz
Whiteville, NC 28472
Phone (910) 642-5808

420 Eastwood Rd
Ste 102
Wilmington, NC 28403
Phone (910) 251-8111

2334 41st St
Wilmington, NC 28403
Phone (910) 815-3122

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732752000000",
    "number": "1346993284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MCNEILL PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728602",
            "telephone_number": "910-918-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 MCNEILL PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728602",
            "telephone_number": "910-642-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILBURN",
        "first_name": "ANGELA",
        "middle_name": "BONTEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.