Individual provider Active NPI

Alexa K Disarno, FNP-C

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1619460334
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02180585 Issued in NC
Practice address
Eastern Nephrology Associates
1302 Medical Center Drive
Wilmington, NC 28401-7503
Phone
(910) 343-9800
Fax
(910) 343-8650
NPI assigned
Jun 7, 2018
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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 F02180585 NC Primary

Addresses

Primary practice location

Eastern Nephrology Associates
1302 Medical Center Drive
Wilmington, NC 28401-7503

Mailing address

1302 Medical Center Dr
Wilmington, NC 28401-7503
Phone (910) 343-9800

Other practice location 1

7529 DuVal Ct
Wilmington, NC 28411-7270
Phone (910) 526-4182

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
I20180820002051 NC Practitioner - Nurse Practitioner 3779832043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Nephrology Associates PLLCGroup PAC ID 2264420512, 75 clinicians

Practice addresses (Care Compare)

1021 Beaman St
Clinton, NC 28328-2343
Phone (919) 580-9840

1302 Medical Ctr Dr
Wilmington, NC 28401-7503
Phone (910) 343-9800

227 Memorial Dr
Jacksonville, NC 28546-6333
Phone (910) 346-2263

358 Northeast Blvd
Clinton, NC 28328-2424
Phone (910) 490-7000

3800 E 10TH St
Suite 102
Greenville, NC 27858-7618
Phone (252) 752-8880

511 Paladin Dr
Greenville, NC 27834-7826
Phone (252) 752-8880

800 Jefferson St
Suite 107
Whiteville, NC 28472-3702
Phone (910) 642-9888

970 Newman Rd
New Bern, NC 28562-5200
Phone (252) 633-9262

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F02180585NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Nephrology Associates PLLC CurrentSince Apr 1, 2019 Accepting new patients

Locations

511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280

800 Jefferson St
Ste 107
Whiteville, NC 28472
Phone (910) 642-9888

1302 Medical Center Dr
Wilmington, NC 28401
Phone (910) 343-9800

Interoperability endpoints

  • Direct secure messaging: adisarno@crhn.cernerdirect.com
  • Direct secure messaging: adisarno22375@direct.acumenmd.com
  • Direct secure messaging: adisarno766862@direct.novanthealth.org

Organizations & group practices 1

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 4

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1619460334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017503",
            "telephone_number": "910-343-9800",
            "fax_number": "910-343-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EASTERN NEPHROLOGY ASSOCIATES",
            "address_2": "1302 MEDICAL CENTER DRIVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017503",
            "telephone_number": "910-343-9800",
            "fax_number": "910-343-8650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7529 DuVal Ct",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284117270",
            "country_code": "US",
            "telephone_number": "910-526-4182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISARNO",
        "first_name": "ALEXA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F02180585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.