Individual provider Active NPI

Annette Coble Willett, FNP

  • Family Nurse Practitioner
  • Siler City, NC
National Provider Identifier
1366756322
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004798 Issued in NC
Practice address
202 East Raleigh Street
Ste C
Siler City, NC 27344-3558
Phone
(919) 887-0084
Fax
(919) 887-0180
NPI assigned
Aug 2, 2010
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5004798 NC Primary

Addresses

Primary practice location

202 East Raleigh Street
Ste C
Siler City, NC 27344-3558

Mailing address

202 East Raleigh Street
Ste C
Siler City, NC 27344-3558
Phone (919) 887-0084

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
I20171014000470 NC Practitioner - Nurse Practitioner 7113292392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 E Raleigh St
Suite C
Siler City, NC 27344-3558
Phone (919) 887-0084

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Wellness Clinic PLLC Family CurrentSince Oct 5, 2022 Accepting new patients
FHPG, LLC Current Accepting new patients
FHPG, LLC CurrentSince Apr 25, 2022 Accepting new patients
FHPG, LLC CurrentSince Apr 25, 2022 Accepting new patients

Locations

200 E Salisbury St
Pittsboro, NC 27312
Phone (919) 545-0580

202 E Raleigh St
Ste C
Siler City, NC 27344
Phone (919) 887-0084

Interoperability endpoints

  • Direct secure messaging: annette.willett.1@28354.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1366756322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 EAST RALEIGH STREET",
            "address_2": "STE C",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273443558",
            "telephone_number": "919-887-0084",
            "fax_number": "919-887-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 EAST RALEIGH STREET",
            "address_2": "STE C",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273443558",
            "telephone_number": "919-887-0084",
            "fax_number": "919-887-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "ANNETTE",
        "middle_name": "COBLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siler City, NC

Sources for this page

Verify at the official NPI Registry.