Jo Ellen Inman-Puckett, DNP, AGPCNP
Individual provider Active NPI Adult Health Nurse Practitioner · Spruce Pine, NC
NPI 1487260451 · NPPES record last updated Sep 16, 2020
Key facts
- NPI
- 1487260451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 5013551 (NC)
- Practice address
- 31 Swiss Pine CT
Spruce Pine, NC 28777-8704 - Phone
- (828) 765-1444
- NPI assigned
- Sep 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- NM Pacs 2 LLC
Inpatient Consultants of North Carolina PC
CS Pacs 3 Southeast LLC
Practice addresses (Care Compare)
218 Laurel Creek CT
Spruce Pine, NC 28777-3134
Phone (828) 765-7312
515 Barbour Rd
Smithfield, NC 27577-7698
Phone (919) 934-6017
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210616001849 | NC | Practitioner - Nurse Practitioner | 3173923984 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NM Pacs 2 LLC | Current |
Accepting new patients | |
| Carelon Medical Partners of North Carolina PC | Current |
Accepting new patients | |
| CS Pacs 3 Southeast, LLC | Current |
Accepting new patients | |
| Inpatient Consultants of North Carolina, PC | Current |
Accepting new patients | |
| Inpatient Consultants of North Carolina, PC | Current |
Accepting new patients |
Locations
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800
707 N Elm St
High Point, NC 27262
Phone (336) 885-0141
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066
1100 N Raleigh Blvd
Ste 130
Raleigh, NC 27610
Phone (919) 838-2887
515 Barbour Rd
Smithfield, NC 27577
Phone (919) 227-6261
179 Combs St
Sparta, NC 28675
Phone (336) 372-2441
218 Laurel Creek Ct
Spruce Pine, NC 28777
Phone (828) 682-0200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 5013551 | NC | Yes |
Addresses
Primary practice location
31 Swiss Pine CT
Spruce Pine, NC 28777-8704
Mailing address
216 Greenway St
Huntersville, NC 28078-7264
Phone (704) 948-6169
Other providers in Spruce Pine, NC
- Hospice & Palliative Care of the Blue Ridge Inc
- Hospital Drive Pharmacy Inc
- Hospital Drive Pharmacy, Inc.
- John Wesley Hughes
- Ingles Markets Inc
- James S. Thompson, DDS, PA
- John Janeski
- Katherine a Grigg DDS PA
- Katherine a. Grigg DDS PA
- Cassie Frances Keeton III
All providers in Spruce Pine, NC · Adult Health Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.