Active NPI
Maggie Whitt Mazurek, FNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Indian Trail, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5007328
- Practice address
- 1150 Hawthorne Dr
Indian Trail, NC 28079-4135 - Phone
- (980) 999-0466
- Fax
- (704) 704-1053
- NPI assigned
- Feb 26, 2014
- Last updated
- Sep 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 246723 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5007328 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5007328 | NC | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 24007 | SC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-APN.0107911-C-NP | CO |
Addresses
Primary practice location
1150 Hawthorne Dr
Indian Trail, NC 28079-4135
Mailing address
1150 Hawthorne Dr
Indian Trail, NC 28079-4135
Phone (980) 999-0466
Other practice location 1
2261 Market St Ste 10222
San Francisco, CA 94114-1612
Phone (415) 360-3348
Other practice location 2
1500 N Grant St Ste N
Denver, CO 80203-1859
Phone (980) 999-1053
Other names 1
- Maggie Lauren Whitt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246723 | NC | MD | Family Nurse Practitioner |
| C-APN.0107911-C-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| 5007328 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
| 95000436 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of North Carolina PC | Family | Current | Accepting new patients |
| Lifesource of North Carolina | Nurse Practitioner | Current | Accepting new patients |
| Lifesource of North Carolina | Nurse Practitioner | Current | Accepting new patients |
| Lifesource of North Carolina | Nurse Practitioner | Current | Accepting new patients |
Locations
6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415
3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880
1915 Ebenezer Rd
Rock Hill, SC 29732
Phone (305) 866-9951
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.
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1811286156
Nurse Practitioner
-
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1699748608
-
- Psychiatric/Mental Health Nurse Practitioner
- Denver, CO
- NPI 1033022504
-
- General Practice Physician
- Clinton, SC
- NPI 1972861789
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1376968487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 HAWTHORNE DR",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280794135",
"telephone_number": "980-999-0466",
"fax_number": "704-704-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 HAWTHORNE DR",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280794135",
"telephone_number": "980-999-0466",
"fax_number": "704-704-1053"
}
],
"practiceLocations": [
{
"address_1": "2261 Market St Ste 10222",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941141612",
"country_code": "US",
"telephone_number": "415-360-3348",
"fax_number": "704-704-1053",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 N Grant St Ste N",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802031859",
"country_code": "US",
"telephone_number": "980-999-1053",
"fax_number": "704-704-1053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAZUREK",
"first_name": "MAGGIE",
"middle_name": "WHITT",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-26",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "246723",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5007328",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5007328",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "24007",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "C-APN.0107911-C-NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAGGIE",
"last_name": "WHITT",
"middle_name": "LAUREN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indian Trail, NC
- Jill Ann Magda, R.PH.
- Magnolia Mind and Wellness PLLC
- Hannah Gray Manning, M.S., CCC-SLP
- James F Matthews, O.D.
- Sunny Grace Mayall, PT, DPT
- Mazyar Michael Neshat, D.C., P.a. (Maz Clinic of Chiropractic)
- Mazyar Neshat, D.C., P.a. (Maz Clinic of Chiropractic)
- Vanessa Gonzalez McBeth, ATC
- Janice McGee, IBCLC
- Nicole Hunter McGuff, LAT, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.