Individual provider Active NPI

Trusha Patel Jacobs

  • Family Nurse Practitioner
  • Lumberton, NC
National Provider Identifier
1669247995
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11230377 Issued in NC
Practice address
3001 N Elm St
Lumberton, NC 28358-2984
Phone
(910) 674-4203
NPI assigned
Nov 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F11230377 NC Primary

Addresses

Primary practice location

3001 N Elm St
Lumberton, NC 28358-2984

Mailing address

1200 Cy Williams Blvd
Lumberton, NC 28360-4667
Phone (910) 258-8992

Other practice location 1

2901 N Elm St
Lumberton, NC 28358-2982
Phone (910) 671-5395

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tpatel830001@direct.UNC.nchie.net Direct

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
I20240201003530 NC Practitioner - Nurse Practitioner 8022461326 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F11230377NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince Feb 5, 2024 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Robeson Pediatrics, P.a. Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2901 N Elm St
Lumberton, NC 28358
Phone (910) 671-5395

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Interoperability endpoints

  • Direct secure messaging: tpatel830001@direct.unc.nchie.net

Organizations & group practices 3

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": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1669247995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CY WILLIAMS BLVD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283604667",
            "telephone_number": "910-258-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N ELM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582984",
            "telephone_number": "910-674-4203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582982",
            "country_code": "US",
            "telephone_number": "910-671-5395",
            "fax_number": "910-739-3062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL JACOBS",
        "first_name": "TRUSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F11230377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpatel830001@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2901 N Elm St",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283582982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.