Individual provider Active NPI

Stella Osemeka, NP, APRN

  • Family Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1508201542
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F04190727 Issued in NC
Practice address
2682 Court Dr
Gastonia, NC 28054-1440
Phone
(704) 823-8885
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 15507 NC
Family Nurse Practitioner 363LF0000X F04190727 NC Primary

Addresses

Primary practice location

2682 Court Dr
Gastonia, NC 28054-1440

Mailing address

2682 Court Dr
Gastonia, NC 28054-1440
Phone (704) 823-8885

Other practice location 1

991 W Hudson Blvd
Gastonia, NC 28052-6430
Phone (704) 853-5265

Other names 1

  • Stella Osemeka Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200422003234 NC Practitioner - Nurse Practitioner 9931539541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Digestive Diseases Center, PCGroup PAC ID 0749321636, 2 clinicians

Practice addresses (Care Compare)

2682 Court Dr
Gastonia, NC 28054-1442
Phone (704) 823-8885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F04190727NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Digestive Diseases Center, PC CurrentSince Mar 4, 2020 Accepting new patients

Locations

2682 Court Dr
Ste A
Gastonia, NC 28054
Phone (704) 823-8882

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1508201542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2682 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541440",
            "telephone_number": "704-823-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2682 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541440",
            "telephone_number": "704-823-8885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "991 W Hudson Blvd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280526430",
            "country_code": "US",
            "telephone_number": "704-853-5265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSEMEKA",
        "first_name": "STELLA",
        "credential": "NP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "15507",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F04190727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STELLA",
            "last_name": "OSEMEKA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.