Individual provider Active NPI

Patrick Wimbish, FNP-C

  • Family Nurse Practitioner
  • Rockingham, NC
National Provider Identifier
1629440599
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010981 Issued in NC
Practice address
1262 E Broad Ave
Rockingham, NC 28379-4902
Phone
(910) 817-9200
NPI assigned
Oct 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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 5010981 NC Primary
Family Nurse Practitioner 363LF0000X AP129522 TX

Addresses

Primary practice location

1262 E Broad Ave
Rockingham, NC 28379-4902

Mailing address

1262 E Broad Ave
Rockingham, NC 28379-4902
Phone (910) 817-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181203000013 NC Practitioner - Nurse Practitioner 9436423506 Reassigns benefits to 1 organization
I20250701002762 KY Practitioner - Nurse Practitioner 9436423506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, 213 clinicians
Fastmed PCGroup PAC ID 9830540558, 174 clinicians
Brock Medical, LLCGroup PAC ID 9830354638, 93 clinicians

Practice addresses (Care Compare)

1023 W Main St
Princeton, KY 42445-1253
Phone (270) 254-5840

1151 W 9TH St
Russellville, KY 42276-9760
Phone (270) 847-4033

1262 E Broad Ave
Rockingham, NC 28379-4902
Phone (910) 817-9200

1350 N Main St
Madisonville, KY 42431-1282
Phone (270) 245-2554

1475 Nashville Rd
Franklin, KY 42134-6961
Phone (615) 988-1571

230 N Green St
Henderson, KY 42420-3109
Phone (270) 854-3196

2955 Fort Campbell Blvd
Hopkinsville, KY 42240-4901
Phone (270) 632-1548

401 Main St
Benton, KY 42025-1119
Phone (270) 906-0369

901 N 12TH St
Murray, KY 42071-3632
Phone (931) 253-1110

919 N Main St
Madisonville, KY 42431-1261
Phone (270) 228-0592

Merit-based Incentive Payment System (MIPS)

Final score
74.09 of 100Reported as group
Quality
65.78
Improvement activities
40
Cost
76.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP129522TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky, PLLC CurrentSince Jun 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Jun 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fastmed P.C. CurrentSince Jan 8, 2024 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients
Texan Urgent Care PLLC Past Accepting new patients

Locations

401 Main St
Benton, KY 42025
Phone (270) 906-0369

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

2955 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 348-3677

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

178 Highway 105 Ext
Ste 101
Boone, NC 28607
Phone (828) 265-7146

7010 NC Highway 751
Durham, NC 27707
Phone (919) 313-3900

1262 E Broad Ave
Rockingham, NC 28379
Phone (910) 817-9200

Organizations & group practices 9

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": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1629440599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 E BROAD AVE",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794902",
            "telephone_number": "910-817-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 E BROAD AVE",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794902",
            "telephone_number": "910-817-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBISH",
        "first_name": "PATRICK",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-30",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010981",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

Verify at the official NPI Registry.