Individual provider Active NPI

Elena McGinty, MSN, AOCNS, FNP-BC

  • Family Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1386281533
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012590 Issued in NC
Practice address
1225 Creekshire Way
Suite 270
Winston Salem, NC 27103
Phone
(336) 701-3111
Fax
(888) 757-4153
NPI assigned
Dec 6, 2019
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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 5012590 NC Primary
Clinical Nurse Specialist 364S00000X 424 NC

Addresses

Primary practice location

1225 Creekshire Way
Suite 270
Winston Salem, NC 27103

Mailing address

3719 Brownstone LN
Winston Salem, NC 27106-3572

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
I20210723001636 NC Practitioner - Nurse Practitioner 1850794124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Certus Psychiatry and Integrated Care PLLCGroup PAC ID 0244506756, 17 clinicians

Practice addresses (Care Compare)

1255 Creekshire Way
Suite 270
Winston Salem, NC 27103-3061
Phone (336) 701-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
424NCMDAcupuncturist
5012590NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Certus Psychiatry and Integrated Care PLLC CurrentSince Apr 15, 2021 Accepting new patients

Locations

1255 Creekshire Way
Ste 270
Winston Salem, NC 27103
Phone (336) 701-3111

Organizations & group practices 1

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": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1386281533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 BROWNSTONE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CREEKSHIRE WAY",
            "address_2": "SUITE 270",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-701-3111",
            "fax_number": "888-757-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINTY",
        "first_name": "ELENA",
        "name_prefix": "Ms.",
        "credential": "MSN, AOCNS, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012590",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NC",
            "license": "424",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.