Active NPI
Lori Wheeler, R.N.
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5018992
- Practice address
- 200 Tarpon TRL
Jacksonville, NC 28546-5287 - Phone
- (580) 565-6707
- NPI assigned
- May 11, 2017
- Last updated
- Oct 19, 2023
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5018992 | NC | Primary |
| Medical-Surgical Registered Nurse | 163WM0705X | 0012230 | DE |
Addresses
Primary practice location
200 Tarpon TRL
Jacksonville, NC 28546-5287
Mailing address
10293 Bradford St
Kingston, OK 73439-2151
Phone (580) 565-6707
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Missouri, Columbia School of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8044 Market St
Unit D
Wilmington, NC 28411-9384
Phone (910) 686-3505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0012230 | DE | MD | Medical-Surgical Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Carolina Neuropsychiatric Center, PA | Current | Accepting new patients | |
| Porters Neck Psychological Services, PLLC | Current | Accepting new patients |
Locations
200 Tarpon Trl
Jacksonville, NC 28546
Phone 9109381114139
1630 Military Cutoff Rd
Ste 108
Wilmington, NC 28403
8044 Market St
#D
Wilmington, NC 28411
Phone (910) 686-3505
Organizations & group practices 2
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.
-
- Psychologist
- Wilmington, NC
- NPI 1265750681
-
- Psychiatry Physician
- Jacksonville, NC
- NPI 1184737462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1417483439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10293 BRADFORD ST",
"city": "KINGSTON",
"state": "OK",
"postal_code": "734392151",
"telephone_number": "580-565-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TARPON TRL",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285465287",
"telephone_number": "580-565-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "LORI",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5018992",
"primary": true
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "DE",
"license": "0012230",
"primary": false
}
],
"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 Oct 19, 2023; 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.