NPIMap

Individual provider Active NPI

Ronnie L Reese, PAC

  • Medical Physician Assistant
  • Princeton, NC
National Provider Identifier
1467410217
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-13938 Issued in NC
Practice address
213 Barden St
Princeton, NC 27569-7206
Phone
(919) 205-1710
Fax
(919) 205-1711
NPI assigned
May 2, 2006
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13938 NC
Medical Physician Assistant 363AM0700X 808 NE
Medical Physician Assistant 363AM0700X 0010-13938 NC Primary

Addresses

Primary practice location

213 Barden St
Princeton, NC 27569-7206

Mailing address

213 Barden St
Princeton, NC 27569-7206
Phone (919) 205-1710

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rreese1120164@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080613000220 NE Practitioner - Physician Assistant 7012088313 Reassigns benefits to 2 organizations
I20240226002938 NC Practitioner - Physician Assistant 7012088313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

213 Barden St
Princeton, NC 27569-7206
Phone (919) 205-1710

2510 Bellevue Medical Ctr Dr
Bellevue, NE 68123-1520

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
808NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince Feb 12, 2024 Accepting new patients
Unc Physicians Network LLC CurrentSince Feb 12, 2024 Accepting new patients
Alegent Health Quick Care LLC Physician Assistant Past Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Allen D Wilsey Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

213 Barden St
Princeton, NC 27569
Phone (919) 205-1710

Interoperability endpoints

  • Direct secure messaging: rreese1120164@direct.unc.nchie.net

Organizations & group practices 8

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 4

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1467410217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 BARDEN ST",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275697206",
            "telephone_number": "919-205-1710",
            "fax_number": "919-205-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 BARDEN ST",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275697206",
            "telephone_number": "919-205-1710",
            "fax_number": "919-205-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "RONNIE",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13938",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "808",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-13938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rreese1120164@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "213 Barden St",
            "city": "Princeton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275697206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Princeton, NC

Sources for this page

Verify at the official NPI Registry.