Cynthia Randall Eller, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

139373 Issued in NC

Practice address

1900 W Park Dr
North Wilkesboro, NC 28659-3563

Phone

(336) 903-6840

Fax

(336) 903-6841

NPI assigned

Aug 18, 2015

Last updated

Aug 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cynthia Ann Eller Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wilkes Physician Network, Inc.

  dba Wilkes Regional Family Medicine

  • Family Medicine Physician
  • North Wilkesboro, NC
  • NPI 1245496413
  NPD
• Wilkes Physician Network, Inc.

  dba Rock Creek Family Medicine and Urgent Care

  • Family Medicine Physician
  • North Wilkesboro, NC
  • NPI 1891183331
  NPD (past)

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1437525060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W PARK DR",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593563",
            "telephone_number": "336-903-6840",
            "fax_number": "336-903-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W PARK DR",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593563",
            "telephone_number": "336-903-6840",
            "fax_number": "336-903-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "CYNTHIA",
        "middle_name": "RANDALL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "139373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "ELLER",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ginna Edwards, PA-C
• Elevate Chiropractic and Performance Therapy PLLC
• Angela Shew Elledge, OT/L
• Aletha Poplin Eller, PHARMD
• Connie Hall Eller, RN
• Jennifer Higgins Eller, MA CCC-SLP
• Stephanie Juanita Eller, CADC
• Anesa Elliott
• Mohammed Elsadany, MD
• Ahmed Mohamed Saad Elzanaty, MD, MPH

• Nurse Practitioner in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.