Individual provider Active NPI

Adrienne Leigh Anderson, APRN

  • Family Nurse Practitioner
  • Wake Forest, NC
National Provider Identifier
1528874005
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021543 Issued in NC
Practice address
620 Dr Calvin Jones Hwy Ste 212
Wake Forest, NC 27587-3108
Phone
(919) 761-5678
Fax
(919) 761-5680
NPI assigned
Dec 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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 ANDE-QAJ2C NC
Family Nurse Practitioner 363LF0000X 5021543 NC Primary

Addresses

Primary practice location

620 Dr Calvin Jones Hwy Ste 212
Wake Forest, NC 27587-3108

Mailing address

620 Dr Calvin Jones Hwy Ste 212
Wake Forest, NC 27587-3108
Phone (919) 761-5678

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
I20250505002129 NC Practitioner - Nurse Practitioner 1951828862 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Durham Medical Group PAGroup PAC ID 2365409588, 80 clinicians

Practice addresses (Care Compare)

620 Dr Calvin Jones Hwy
Suite 212
Wake Forest, NC 27587-3108
Phone (919) 761-5678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ANDE-QAJ2CNCMDNurse Practitioner
5021543NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Durham Medical Group PA CurrentSince Aug 1, 2025 Accepting new patients
Raleigh Durham Medical Group PA CurrentSince Aug 1, 2025 Accepting new patients
Heritage Wound Management Specialists PLLC CurrentSince Feb 21, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 1, 2025 Accepting new patients
Wound Management Specialists, LLC Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients

Locations

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

97 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-0993

7124 US Highway 64 E
Knightdale, NC 27545
Phone (919) 266-6211

6 Regional Dr
Ste D
Pinehurst, NC 28374
Phone (910) 221-7195

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

620 Dr Calvin Jones Hwy
Ste 212
Wake Forest, NC 27587
Phone (919) 761-5678

620 Dr Calvin Jones Hwy
Ste 208
Wake Forest, NC 27587
Phone (919) 761-5678

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1528874005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 DR CALVIN JONES HWY STE 212",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873108",
            "telephone_number": "919-761-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 DR CALVIN JONES HWY STE 212",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873108",
            "telephone_number": "919-761-5678",
            "fax_number": "919-761-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ADRIENNE",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "ANDE-QAJ2C",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.