NPIMap

Individual provider Active NPI

Erin McQueen

  • Physician Assistant
  • Eastover, NC
National Provider Identifier
1447092440
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14496 Issued in NC
Practice address
3551 Dunn Rd Ste 101E
Eastover, NC 28312-9417
Phone
(910) 491-4530
NPI assigned
Jun 10, 2024
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-14496 NC Primary

Addresses

Primary practice location

3551 Dunn Rd Ste 101E
Eastover, NC 28312-9417

Mailing address

3551 Dunn Rd Ste 101E
Eastover, NC 28312-9417

Other practice location 1

37 Pineville Blvd Ste 101
Clayton, NC 27527-9355
Phone (984) 215-5040

Other practice location 2

1074 Southern Ave
Fayetteville, NC 28306-1766
Phone (910) 491-4530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emcqueen1570022@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108001737 NC Practitioner - Physician Assistant 7113451493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Pennsylvania State University College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Simpleclinic PLLCGroup PAC ID 2264730621, 7 clinicians

Practice addresses (Care Compare)

1074 Southern Ave
Fayetteville, NC 28306-1766

1515 Sunset Ave
Clinton, NC 28328-3827
Phone (910) 491-9418

2414 Hope Mills Rd
Fayetteville, NC 28304-4264
Phone (910) 437-9905

3551 Dunn Rd
Suite 101
Eastover, NC 28312-9417
Phone (910) 483-6277

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Simpleclinic PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emcqueen127819@capefearvalley.direct-ci.com

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1447092440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 DUNN RD STE 101E",
            "city": "EASTOVER",
            "state": "NC",
            "postal_code": "283129417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 DUNN RD STE 101E",
            "city": "EASTOVER",
            "state": "NC",
            "postal_code": "283129417",
            "telephone_number": "910-491-4530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Pineville Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275279355",
            "country_code": "US",
            "telephone_number": "984-215-5040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1074 Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283061766",
            "country_code": "US",
            "telephone_number": "910-491-4530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emcqueen1570022@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "37 Pineville Blvd Ste 101",
            "city": "Clayton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275279355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eastover, NC

Sources for this page

Verify at the official NPI Registry.