Individual provider Active NPI

Mary Jane Satre, NP

  • Family Nurse Practitioner
  • Cary, NC
National Provider Identifier
1609153758
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5008527 Issued in NC
Practice address
930 SE Cary Pkwy Ste 200
Cary, NC 27518-7419
Phone
(919) 859-2566
Fax
(919) 859-5252
NPI assigned
Nov 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5008527 NC Primary
Family Nurse Practitioner 363LF0000X 336910 NY

Addresses

Primary practice location

930 SE Cary Pkwy Ste 200
Cary, NC 27518-7419

Mailing address

930 SE Cary Pkwy Ste 200
Cary, NC 27518-7419
Phone (919) 859-2566

Other practice location 1

455 Maple St
Suite 1
Big Flats, NY 14814-9701
Phone (607) 562-8901

Other identifiers 1

IdentifierTypeStateIssuer
00372050MedicaidNY

Other names 1

  • Mary Jane Lenhardt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5008527NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arnot Medical Services PLLC PastSince Apr 1, 2012 Accepting new patients
Arnot Ogden Medical Center Past Accepting new patients

Organizations & group practices 2

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": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609153758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SE CARY PKWY STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187419",
            "telephone_number": "919-859-2566",
            "fax_number": "919-859-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SE CARY PKWY STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187419",
            "telephone_number": "919-859-2566",
            "fax_number": "919-859-5252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Maple St",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Big Flats",
            "state": "NY",
            "postal_code": "148149701",
            "country_code": "US",
            "telephone_number": "607-562-8901",
            "fax_number": "607-562-7443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATRE",
        "first_name": "MARY",
        "middle_name": "JANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008527",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336910",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00372050",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY JANE",
            "last_name": "LENHARDT",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.