Jo Ellen Inman-Puckett, DNP, AGPCNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5013551 Issued in NC

Practice address

31 Swiss Pine CT
Spruce Pine, NC 28777-8704

Phone

(828) 765-1444

NPI assigned

Sep 16, 2020

Last updated

Sep 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NM Pacs 2 LLCGroup PAC ID 3375892060, 108 clinicians

Inpatient Consultants of North Carolina PCGroup PAC ID 5991720591, 85 clinicians

CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Inpatient Consultants of North Carolina, PC

  • Internal Medicine Physician
  • Kannapolis, NC
  • NPI 1669422846
  Medicare reassignment Care Compare group NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  NC

  Medicare reassignment Care Compare group NPD
• NM Pacs 2 LLC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1366928749

  NC

  Medicare reassignment Care Compare group NPD
• Carelon Medical Partners of North Carolina PC

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1659775831
  NPD
• Inpatient Consultants of North Carolina, PC

  • Hospitalist Physician
  • Raleigh, NC
  • NPI 1790173680
  NPD

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1487260451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 GREENWAY ST",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787264",
            "telephone_number": "704-948-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SWISS PINE CT",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287778704",
            "telephone_number": "828-765-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INMAN-PUCKETT",
        "first_name": "JO",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "DNP, AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5013551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospice & Palliative Care of the Blue Ridge Inc
• Hospital Drive Pharmacy Inc
• Hospital Drive Pharmacy, Inc.
• John Wesley Hughes, LCSW
• Ingles Markets Inc (Ingles Pharmacy #033)
• James S. Thompson, DDS, PA
• John Janeski, DRPH, L.AC.
• Katherine a Grigg DDS PA
• Katherine a. Grigg DDS PA
• Cassie Frances Keeton III

• Adult Health Nurse Practitioner in Spruce Pine, NC
• Providers in Spruce Pine, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.

Verify at the official NPI Registry.