Nathalie Elizabeth Ortiz Pate, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001003139 Issued in NC

Practice address

7228 Pittsboro-Moncure Rd
Moncure, NC 27559

Phone

(919) 542-4991

NPI assigned

Oct 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Nathalie Wenzell Ortiz Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Piedmont Health Services, Inc.

  dba Carrboro Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Carrboro, NC
  • NPI 1164526109
  Medicare reassignment NPD (past)
• Piedmont Health Services, Inc.

  dba Sylvan Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Snow Camp, NC
  • NPI 1144583055
  NPD
• Piedmont Health Services, Inc.

  dba Piedmont Efland School Based Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Efland, NC
  • NPI 1528817590
  NPD

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1659656593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 319",
            "city": "MONCURE",
            "state": "NC",
            "postal_code": "275590319",
            "telephone_number": "919-542-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7228 PITTSBORO-MONCURE RD",
            "city": "MONCURE",
            "state": "NC",
            "postal_code": "27559",
            "telephone_number": "919-542-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ PATE",
        "first_name": "NATHALIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001003139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHALIE",
            "last_name": "WENZELL ORTIZ",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lyb Co LLC (MC2 Professional Care Services)
• William Martin, MD
• John Messenheimer, MD
• Yareli Gabriela Morehouse, PA-C
• Navid Nesab, DDS
• Kyle Gilmore Pelligra, PA-C
• Christopher M Pennisi, DDS
• Piedmont Health Services, Inc. (Moncure CHC Pharmacy)
• Piedmont Health Services, Inc. (Moncure CHC Dental)
• Piedmont Health Services, Inc. (Haywood-Moncure Health Center Pharmacy)

• Medical Physician Assistant in Moncure, NC
• Providers in Moncure, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.