Individual provider Active NPI

Farren Shumake Wilkinson, FNP-C

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1508484932
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013290 Issued in NC
Practice address
1130 New Garden Rd
Greensboro, NC 27410-3206
Phone
(336) 218-8346
NPI assigned
Jul 13, 2020
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5013290 NC
Family Nurse Practitioner 363LF0000X 5013290 NC Primary

Addresses

Primary practice location

1130 New Garden Rd
Greensboro, NC 27410-3206

Mailing address

1130 New Garden Rd
Greensboro, NC 27410-3206
Phone (336) 218-8346

Other practice location 1

2150 Nc Highway 65
Reidsville, NC 27320-9609
Phone (336) 427-9022

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
I20230522003380 NC Practitioner - Nurse Practitioner 4486010121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5013290NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration NC PLLC CurrentSince Apr 17, 2023 Accepting new patients
Center for Vein Restoration NC PLLC CurrentSince Apr 17, 2023 Accepting new patients
Hospice of Rockingham County, Inc CurrentSince Jan 26, 2025 Accepting new patients
Hospice of Rockingham County, Inc CurrentSince Jan 26, 2025 Accepting new patients

Locations

15825 Ballantyne Medical Pl
Ste 240
Charlotte, NC 28277
Phone 3019822000190

860 Summit Crossing Pl
Ste 120
Gastonia, NC 28054
Phone (704) 830-6374

1130 New Garden Rd
Greensboro, NC 27410
Phone (336) 218-8346

510 N Elam Ave
Ste 305
Greensboro, NC 27403

2150 NC Highway 65
Reidsville, NC 27320
Phone (336) 427-9022

Interoperability endpoints

  • Direct secure messaging: farren.wilkinson.p3@direct.cvr.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1508484932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 NEW GARDEN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103206",
            "telephone_number": "336-218-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NEW GARDEN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103206",
            "telephone_number": "336-218-8346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Nc Highway 65",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273209609",
            "country_code": "US",
            "telephone_number": "336-427-9022",
            "fax_number": "336-427-9030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "FARREN",
        "middle_name": "SHUMAKE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013290",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.