Active NPI
Jennifer Ficca Flinchum, FNP-C
- Nurse Practitioner
- Jacksonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 237018
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- 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 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Martinsville Physician Practices LLC | Nurse Practitioner | Current | Accepting new patients |
| Martinsville Physician Practices LLC | Current | Accepting new patients | |
| Star Medical Clinic PLLC | Current | 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
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
- 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.
-
- Internal Medicine Physician
- Martinsville, VA
- NPI 1255380887
Nurse Practitioner
-
- General Practice Physician
- Jacksonville, NC
- NPI 1033565007
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Rural Health Clinic/Center
- Martinsville, VA
- NPI 1558049742
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
-
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.