Individual provider Active NPI

Danielle Feck Theberge, WHNP

  • Women's Health Nurse Practitioner
  • Surf City, NC
National Provider Identifier
1609216803
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
5006300 Issued in NC
Practice address
13094 NC Hwy 50
Surf City, NC 28445-2844
Phone
(910) 222-7555
Fax
(910) 222-3899
NPI assigned
Jul 2, 2013
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 5006300 NC
Ambulatory Women's Health Care Registered Nurse 163WW0101X NP0990745 CO
Nurse Practitioner 363L00000X 5006300 NC
Women's Health Nurse Practitioner 363LW0102X 5006300 NC Primary

Addresses

Primary practice location

13094 NC Hwy 50
Surf City, NC 28445-2844

Mailing address

13094 NC Hwy 50
Surf City, NC 28445
Phone (910) 222-7555

Other practice location 1

2212 Delaney Ave
Wilmington, NC 28403-6011
Phone (910) 332-3660 ext. 2028

Other practice location 2

1124 Gallery Park Ln
Wilmington, NC 28412-1142
Phone (910) 341-3300

Other names 1

  • Ms. Danielle Graham Feck Former name

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
I20131112001081 NC Practitioner - Nurse Practitioner 8426284993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians
Elite Comprehensive Care PLLCGroup PAC ID 8527597798, 4 clinicians

Practice addresses (Care Compare)

1124 Gallery Park LN
Wilmington, NC 28412-1142
Phone (910) 341-1540

13094 NC Hwy 50
Surf City, NC 28445
Phone (910) 406-8428

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP0990745COMDAmbulatory Women's Health Care Registered Nurse
5006300NCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wha Medical Clinic PLLC Current Accepting new patients
Elite Comprehensive Care, PLLC CurrentSince Feb 15, 2025 Accepting new patients
Wilmington ASC LLC CurrentSince Jan 13, 2021 Accepting new patients
Wilmington Health PLLC CurrentSince Jan 13, 2021 Accepting new patients

Locations

13094 NC Highway 50
Surf City, NC 28445
Phone (910) 222-7555

1124 Gallery Park Ln
Wilmington, NC 28412
Phone (910) 341-3389

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

Interoperability endpoints

  • Direct secure messaging: danielle.theberge.1@32253.direct.athenahealth.com
  • Direct secure messaging: dtheberge1252413@direct.novanthealth.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1609216803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13094 NC HWY 50",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "28445",
            "telephone_number": "910-222-7555",
            "fax_number": "910-222-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13094 NC HWY 50",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284452844",
            "telephone_number": "910-222-7555",
            "fax_number": "910-222-3899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2212 Delaney Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284036011",
            "country_code": "US",
            "telephone_number": "910-332-3660 x2028",
            "fax_number": "910-332-3668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1124 Gallery Park Ln",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284121142",
            "country_code": "US",
            "telephone_number": "910-341-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEBERGE",
        "first_name": "DANIELLE",
        "middle_name": "FECK",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "NC",
            "license": "5006300",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "CO",
            "license": "NP0990745",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006300",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5006300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "FECK",
            "middle_name": "GRAHAM",
            "prefix": "MS.",
            "credential": "WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surf City, NC

Sources for this page

Verify at the official NPI Registry.