Individual provider Active NPI

Corinne Marie Nantz, RN, AGNP-C

  • Gerontology Nurse Practitioner
  • Fuquay Varina, NC
National Provider Identifier
1669951711
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5010811 Issued in NC
Practice address
1617 N Main St Ste 100
Fuquay Varina, NC 27526-9021
Phone
(919) 577-9952
Fax
(919) 577-9946
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 5010811 NC Primary

Addresses

Primary practice location

1617 N Main St Ste 100
Fuquay Varina, NC 27526-9021

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490

Other practice location 1

2839 Wendell Blvd.
Suite 100
Wendell, NC 27591
Phone (919) 365-7272

Other practice location 2

2600 Nc Highway 97
Wendell, NC 27591-9319
Phone (919) 365-7272

Other names 1

  • Corinne Marie Arundell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cnantz13474@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
I20190418000851 NC Practitioner - Nurse Practitioner 0547501603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

1617 N Main St
Suite 100
Fuquay Varina, NC 27526-9021
Phone (919) 577-9952

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5010811NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Family Practice, PA CurrentSince Apr 1, 2021 Accepting new patients
Generations Family Practice, PA CurrentSince Apr 1, 2021 Accepting new patients
Generations Family Practice, PA Current Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Unc Physicians Network LLC CurrentSince Aug 19, 2024 Accepting new patients

Locations

1021 Darrington Dr
Ste 101
Cary, NC 27513
Phone (919) 852-3339

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

1617 N Main St
#100
Fuquay Varina, NC 27526
Phone (919) 577-9952

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

2600 NC Highway 97
Wendell, NC 27591
Phone (919) 365-7272

Interoperability endpoints

  • Direct secure messaging: cnantz13474@direct.unc.nchie.net
  • FHIR API: https://api.platform.athenahealth.com/7942/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1669951711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N MAIN ST STE 100",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275269021",
            "telephone_number": "919-577-9952",
            "fax_number": "919-577-9946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2839 Wendell Blvd.",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Wendell",
            "state": "NC",
            "postal_code": "27591",
            "country_code": "US",
            "telephone_number": "919-365-7272",
            "fax_number": "919-822-0035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Nc Highway 97",
            "address_purpose": "LOCATION",
            "city": "Wendell",
            "state": "NC",
            "postal_code": "275919319",
            "country_code": "US",
            "telephone_number": "919-365-7272",
            "fax_number": "919-365-7215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANTZ",
        "first_name": "CORINNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5010811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnantz13474@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1617 N Main St Ste 100",
            "city": "Fuquay Varina",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275269021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "ARUNDELL",
            "middle_name": "MARIE",
            "credential": "RN, AGNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fuquay Varina, NC

Sources for this page

Verify at the official NPI Registry.