Individual provider Active NPI

Dana Stewart Mabe, FNP

  • Family Nurse Practitioner
  • Stuart, VA
National Provider Identifier
1386873198
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
136905 Issued in NC
Practice address
18877 Jeb Stuart Hwy
Stuart, VA 24171-5223
Phone
(276) 694-4466
Fax
(276) 694-2909
NPI assigned
Jul 14, 2009
Last updated
Jun 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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 136905 NC Primary

Addresses

Primary practice location

18877 Jeb Stuart Hwy
Stuart, VA 24171-5223

Mailing address

18877 Jeb Stuart Hwy
Stuart, VA 24171-5223
Phone (276) 694-4466

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
I20090817000232 NC Practitioner - Nurse Practitioner 8022162692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
136905NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jul 5, 2023 Accepting new patients
Lifebrite Hospital Group of Stokes, LLC Current Accepting new patients
Lifebrite Hospital Group of Stokes, LLC CurrentSince Oct 31, 2018 Accepting new patients
Lifebrite Hospital Group of Stokes, LLC CurrentSince Oct 31, 2018 Accepting new patients
Lifebrite Hospital Group of Stokes, LLC Past Accepting new patients

Locations

1030 Hospice Dr
Danbury, NC 27016
Phone (336) 593-5354

1570 NC 8 and 89 Hwy N
Danbury, NC 27016
Phone (336) 593-2831

402 W King St
King, NC 27021
Phone (336) 529-4304

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: dmabe@pcfamprac.directbygreenway.com
  • Direct secure messaging: dmabe2753446@carolinashealthcaresystem.direct-ci.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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1386873198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18877 JEB STUART HWY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241715223",
            "telephone_number": "276-694-4466",
            "fax_number": "276-694-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18877 JEB STUART HWY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241715223",
            "telephone_number": "276-694-4466",
            "fax_number": "276-694-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABE",
        "first_name": "DANA",
        "middle_name": "STEWART",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "136905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, VA

Sources for this page

Verify at the official NPI Registry.