Individual provider Active NPI

Janell Becker, FNP-C

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1538685896
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009799 Issued in NC
Practice address
1840 Owen Dr Ste 103
Fayetteville, NC 28304-3455
Phone
(910) 223-7246
NPI assigned
Aug 18, 2017
Last updated
Sep 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5009799 NC Primary

Addresses

Primary practice location

1840 Owen Dr Ste 103
Fayetteville, NC 28304-3455

Mailing address

1840 Owen Dr
Suite 103
Fayetteville, NC 28304-1633
Phone (910) 223-7246

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
I20171116000582 NC Practitioner - Nurse Practitioner 4880950344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brier Creek Integrated Pain and Spine PLLCGroup PAC ID 9133214539, 20 clinicians

Practice addresses (Care Compare)

2109 Valleygate Dr
Suite 102
Fayetteville, NC 28304-3571
Phone (910) 223-7246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5009799NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brier Creek Integrated Pain & Spine PLLC CurrentSince Sep 18, 2017 Accepting new patients
JKM Community Services, PLLC CurrentSince Feb 1, 2019 Accepting new patients
United Sleep Medicine Associates PA Past Accepting new patients
Raleigh Orthopaedic Clinic PA Past Accepting new patients

Locations

4214 N Roxboro St
Durham, NC 27704
Phone (919) 226-1261

4214 N Roxboro St
Ste 140
Durham, NC 27704
Phone (919) 226-1261

2109 Valleygate Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 223-7246

109 Forest Hills Dr
Garner, NC 27529
Phone (919) 863-6939

1970 W Arlington Blvd
Ste C
Greenville, NC 27834
Phone (252) 317-1195

4248 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 671-7229

7780 Brier Creek Pkwy
Ste 200
Raleigh, NC 27617
Phone (919) 246-7266

121 Enterprise Dr
Ste 200
Rocky Mount, NC 27804

340 Commerce Ave
Southern Pines, NC 28387
Phone (800) 445-6118

612 Jefferson St
Ste 20
Whiteville, NC 28472
Phone (910) 207-6417

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": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1538685896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 OWEN DR",
            "address_2": "SUITE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041633",
            "telephone_number": "910-223-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 OWEN DR STE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043455",
            "telephone_number": "910-223-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JANELL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.