Individual provider Active NPI

Rebecca Anne Fox, MSN, APRN-BC

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1639351018
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0050-03734 Issued in NC
Practice address
300 Billingsley Rd Ste 200
Charlotte, NC 28211-1180
Phone
(704) 372-7974
Fax
(704) 372-8201
NPI assigned
Nov 28, 2007
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0050-03734 NC Primary
Adult Health Nurse Practitioner 363LA2200X 0050-03734 NC
Adult Health Nurse Practitioner 363LA2200X 4120 SC

Addresses

Primary practice location

300 Billingsley Rd Ste 200
Charlotte, NC 28211-1180

Mailing address

3426 Toringdon Way Ste 108
Charlotte, NC 28277-3497
Phone (704) 372-7974

Other practice location 1

1105 Spruce St Ste 101
Belmont, NC 28012-4228
Phone (704) 820-9430

Other practice location 2

125 Queens Rd Ste 420
Charlotte, NC 28204-3215
Phone (980) 302-6450

Other names 1

  • Rebecca Anne Wallace Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rwallace78562@direct.novanthealth.org
Direct Messaging Address rwallace78562@direct.novanthealth.org

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
I20080429000307 NC Practitioner - Nurse Practitioner 9931287190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Billingsley Rd
Suite 200
Charlotte, NC 28211-1180
Phone (704) 372-7974

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0050-03734NCMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: rfox631377@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: rwallace78562@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 2

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1639351018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 TORINGDON WAY STE 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773497",
            "telephone_number": "704-372-7974",
            "fax_number": "704-970-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BILLINGSLEY RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111180",
            "telephone_number": "704-372-7974",
            "fax_number": "704-372-8201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Spruce St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NC",
            "postal_code": "280124228",
            "country_code": "US",
            "telephone_number": "704-820-9430",
            "fax_number": "704-372-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Queens Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043215",
            "country_code": "US",
            "telephone_number": "980-302-6450",
            "fax_number": "980-302-6455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "0050-03734",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "0050-03734",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "4120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwallace78562@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1718 E 4th St Ste 707",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwallace78562@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "125 Queens Rd Ste 420",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WALLACE",
            "middle_name": "ANNE",
            "credential": "MSN, APRN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.