Individual provider Active NPI

Stacy Ann Friesner, CNP

  • Acute Care Nurse Practitioner
  • Statesville, NC
National Provider Identifier
1649250119
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
5014466 Issued in NC
Practice address
2001 Van Haven Dr
Statesville, NC 28625-4342
Phone
(704) 883-9700
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 5014466 NC Primary

Addresses

Primary practice location

2001 Van Haven Dr
Statesville, NC 28625-4342

Mailing address

108 S Main St Ste Ceandf
Davidson, NC 28036-8096
Phone (704) 997-5525

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
I20210617000405 NC Practitioner - Nurse Practitioner 3870527948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimed HospitalistsGroup PAC ID 8022204171, 47 clinicians

Practice addresses (Care Compare)

2001 Van Haven Dr
Statesville, NC 28625-4342
Phone (704) 883-5772

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optimed Hospitalists CurrentSince Jun 10, 2023 Accepting new patients
Optimed Hospitalists Current Accepting new patients
Hospitalist Services Medical Group of Marysville Inc Past Accepting new patients
Lake Norman Sleep Center, PA PastSince Jan 1, 2005 Accepting new patients
Marysville Emergency Physicians Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Randall C Orem DO Inc Past Accepting new patients

Locations

2001 Van Haven Dr
Statesville, NC 28625
Phone (704) 883-9700

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

1101 Maple Care Ln
Statesville, NC 28625
Phone (704) 871-0705

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1649250119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST STE CEANDF",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368096",
            "telephone_number": "704-997-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 VAN HAVEN DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254342",
            "telephone_number": "704-883-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESNER",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5014466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.