Individual provider Active NPI

Jennifer Ficca Flinchum, FNP-C

  • Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1407334105
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
237018 Issued in NC
Practice address
260 Memorial Dr Ste a
Jacksonville, NC 28546
Phone
(910) 915-8450
Fax
(888) 745-7026
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 237018 NC
Nurse Practitioner 363L00000X 237018 NC Primary

Addresses

Primary practice location

260 Memorial Dr Ste a
Jacksonville, NC 28546

Mailing address

260 Memorial Dr Ste a
Jacksonville, NC 28546-6332
Phone (910) 915-8450

Other practice location 1

4111 Capitol St Ste A
Durham, NC 27704-2153
Phone (910) 915-8450

Other practice location 2

3642 Henderson Dr Ste A
Jacksonville, NC 28546-5217
Phone (910) 915-8450

Other practice location 3

1136 US Highway 258N
Kinston, NC 28504-8305
Phone (910) 915-8450

Other practice location 4

260 Memorial Dr Ste A
Jacksonville, NC 28546
Phone (910) 915-8450

Other practice location 5

1161 Huffman Mill Rd Ste A
Burlington, NC 27215-8862
Phone (910) 915-8450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180910001898 NC Practitioner - Nurse Practitioner 4981954179 Reassigns benefits to 1 organization
I20250721003221 VA Practitioner - Nurse Practitioner 4981954179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

319 Hospital Dr
Suite 105
Martinsville, VA 24112-1928
Phone (276) 670-7045

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Jun 13, 2023 Accepting new patients
Martinsville Physician Practices LLC Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
Martinsville Physician Practices LLC CurrentSince Jul 1, 2025 Accepting new patients
Star Medical Clinic PLLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

461 Western Blvd
Ste 122
Jacksonville, NC 28546
Phone (910) 333-0283

1703 Country Club Rd
Ste 103
Jacksonville, NC 28546
Phone (910) 330-2335

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

319 Hospital Dr
Ste 107
Martinsville, VA 24112
Phone (276) 632-0944

319 Hospital Dr
Ste 105
Martinsville, VA 24112
Phone (276) 634-5090

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: jennifer.flinchum.1@19847.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1407334105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MEMORIAL DR STE A",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466332",
            "telephone_number": "910-915-8450",
            "fax_number": "888-745-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MEMORIAL DR STE A",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-915-8450",
            "fax_number": "888-745-7026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4111 Capitol St Ste A",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277042153",
            "country_code": "US",
            "telephone_number": "910-915-8450",
            "fax_number": "888-745-7026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3642 Henderson Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285465217",
            "country_code": "US",
            "telephone_number": "910-915-8450",
            "fax_number": "888-745-7026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1136 US Highway 258N",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285048305",
            "country_code": "US",
            "telephone_number": "910-915-8450",
            "fax_number": "888-745-7026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Memorial Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "28546",
            "country_code": "US",
            "telephone_number": "910-915-8450",
            "fax_number": "888-745-7026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1161 Huffman Mill Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272158862",
            "country_code": "US",
            "telephone_number": "910-915-8450",
            "fax_number": "888-745-7026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLINCHUM",
        "first_name": "JENNIFER",
        "middle_name": "FICCA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "237018",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "237018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.