Individual provider Active NPI

Rochelle D Muse, PAC

  • Physician Assistant
  • Wentworth, NC
National Provider Identifier
1508945866
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001000657 Issued in NC
Practice address
371 NC Hwy 65
Suite 204
Wentworth, NC 27375
Phone
(336) 342-8140
Fax
(336) 342-8128
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 001000657 NC
Physician Assistant 363A00000X 001000657 NC Primary

Addresses

Primary practice location

371 NC Hwy 65
Suite 204
Wentworth, NC 27375

Mailing address

371 NC Hwy 65
Suite 204
Wentworth, NC 27375
Phone (336) 342-8140

Other practice location 1

371 Nc Highway 65 Ste 204
Reidsville, NC 27320-8881
Phone (336) 342-8140

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
I20070420000475 NC Practitioner - Physician Assistant 2163527029 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001000657NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC Family Medicine CurrentSince Dec 11, 2009 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Dec 11, 2009 Accepting new patients
Rockingham County Finance Office PastSince Mar 17, 2024 Accepting new patients
Rockingham County Finance Office Past Accepting new patients
Cornerstone Health Care, PA Family Medicine Past Accepting new patients
Laurel Creek Family Medicine, PLLC Family Medicine PastSince Jun 1, 2005 Accepting new patients

Locations

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

4590 Premier Dr
High Point, NC 27265
Phone (336) 333-6306

Interoperability endpoints

  • Direct secure messaging: rochelle.muse.1@31785.direct.athenahealth.com

Organizations & group practices 7

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1508945866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 NC HWY 65",
            "address_2": "SUITE 204",
            "city": "WENTWORTH",
            "state": "NC",
            "postal_code": "27375",
            "telephone_number": "336-342-8140",
            "fax_number": "336-342-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 NC HWY 65",
            "address_2": "SUITE 204",
            "city": "WENTWORTH",
            "state": "NC",
            "postal_code": "27375",
            "telephone_number": "336-342-8140",
            "fax_number": "336-342-8128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 Nc Highway 65 Ste 204",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273208881",
            "country_code": "US",
            "telephone_number": "336-342-8140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSE",
        "first_name": "ROCHELLE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "001000657",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001000657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentworth, NC

Sources for this page

Verify at the official NPI Registry.