Active NPI
Jessica Marie Easley
- Family Nurse Practitioner
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5015521
- Practice address
- 1210 New Garden Rd
Greensboro, NC 27410-2721 - Phone
- (336) 294-6190
- NPI assigned
- Jan 26, 2022
- Last updated
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5015521 | NC | Primary |
| Registered Nurse | 163W00000X | 270638 | NC |
Addresses
Primary practice location
1210 New Garden Rd
Greensboro, NC 27410-2721
Mailing address
195 DC Oakley Rd
Burlington, NC 27217-9330
Phone (336) 514-3549
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica.easley@eaglep.eclinicaldirectplus.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1511 Westover Ter
Suite 201
Greensboro, NC 27408-7131
Phone (336) 373-0611
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270638 | NC | MD | Registered Nurse |
| 5015521 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greensboro Medical Associates, P.a. | Current | Accepting new patients | |
| Eagle Physicians and Associates PA | Family | Current | Accepting new patients |
| Eagle Physicians and Associates PA | Current | Accepting new patients | |
| Eagle Physicians and Associates PA | Past | Accepting new patients |
Locations
1511 Westover Ter
Ste 20
Greensboro, NC 27408
1511 Westover Ter
Ste 201
Greensboro, NC 27408
Phone (336) 333-7878
324 W Wendover Ave
Ste 200
Greensboro, NC 27408
Phone (336) 274-6515
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BAIIBA
- jessica.easley@gsoma.eclinicaldirectplus.com
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.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1336102078
-
dba Eagle Family Medicine @ Guilford College
- Family Medicine Physician
- Greensboro, NC
- NPI 1457436982
-
dba Eagle Physical Therapy
- Physical Therapist
- Greensboro, NC
- NPI 1790491751
-
- Sleep Medicine (Internal Medicine) Physician
- Greensboro, NC
- NPI 1609070648
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1639821010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 DC OAKLEY RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272179330",
"telephone_number": "336-514-3549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 NEW GARDEN RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274102721",
"telephone_number": "336-294-6190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASLEY",
"first_name": "JESSICA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5015521",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "270638",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessica.easley@eaglep.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1210 New Garden Rd",
"city": "Greensboro",
"state": "NC",
"country_code": "US",
"postal_code": "274102721",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greensboro, NC
- Aislinn Early, PHARM. D.
- Leila Early, OT/L
- Sara Elizabeth Early, DNP, AGNP-C
- Todd F Early, MD
- David Earnhardt
- Easter Seals Ucp North Carolina
- Easter Seals Ucp North Carolina & Virginia
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp of North Carolina & Virginia, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.