Individual provider Active NPI

Anthony Moncrieft, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, NC
National Provider Identifier
1619692605
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5017316 Issued in NC
Practice address
2324 Concord Lake Rd
Concord, NC 28025-2814
Phone
(704) 918-1343
NPI assigned
Oct 11, 2022
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5017316 NC Primary

Addresses

Primary practice location

2324 Concord Lake Rd
Concord, NC 28025-2814

Mailing address

PO Box 4811
Mooresville, NC 28117-4811

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
I20230329003329 NC Practitioner - Nurse Practitioner 1850765090 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.23 of 100Reported as group
Quality
88.23
Improvement activities
40
Cost
76.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5017316NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Counseling Psychiatric/Mental Health CurrentSince Jun 16, 2024 Accepting new patients
Telos Health Systems NC PLLC CurrentSince Jul 1, 2024 Accepting new patients
Opportunities Industrialization Center, Inc. CurrentSince Sep 19, 2025 Accepting new patients
Geode Health of North Carolina, PLLC CurrentSince Jul 8, 2024 Accepting new patients
In Truth Psychiatric Services LLC CurrentSince Jun 16, 2024 Accepting new patients
Step Up Care of North Carolina PC CurrentSince Jun 24, 2024 Accepting new patients
Opportunities Industrialization Center, Inc CurrentSince Sep 19, 2025 Accepting new patients

Locations

2324 Concord Lake Rd
Concord, NC 28025
Phone (704) 918-1343

136 Fairview Rd
Ste 125
Mooresville, NC 28117
Phone (704) 317-5929

550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797

90 Guardian Ct
Rocky Mount, NC 27804
Phone (252) 212-3350

1000 College St
Wilkesboro, NC 28697
Phone (336) 838-4141

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 7

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": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1619692605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4811",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 CONCORD LAKE RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252814",
            "telephone_number": "704-918-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCRIEFT",
        "first_name": "ANTHONY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-11",
        "last_updated": "2024-06-10",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5017316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.