Jennifer Fernandez Berry
Individual provider Active NPI Family Nurse Practitioner · Pinehurst, NC
NPI 1679930291 · NPPES record last updated Sep 15, 2021
Key facts
- NPI
- 1679930291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5008322 (NC)
- Practice address
- 145 Applecross Rd
Pinehurst, NC 28374-8521 - Phone
- (910) 692-7928
- NPI assigned
- Jan 27, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.49 of 100
- Quality
- 98.47
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 88.99
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160330002422 | NC | Practitioner - Nurse Practitioner | 7810294238 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5008322 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCPC-12, LLC | Current |
Accepting new patients | |
| MCPC-12, LLC | Current |
Accepting new patients | |
| Texan Urgent Care PLLC | Past | Accepting new patients |
Locations
5 First Village Dr
Ste 100
Pinehurst, NC 28374
Phone (910) 692-7928
313 Teal Dr
Raeford, NC 28376
Phone (910) 904-2350
110 Medical Cir
Rockingham, NC 28379
Phone (910) 410-9494
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5008322 | NC | Yes |
Addresses
Primary practice location
145 Applecross Rd
Pinehurst, NC 28374-8521
Mailing address
145 Applecross Rd
Pinehurst, NC 28374-8521
Phone (910) 692-7928
Other providers in Pinehurst, NC
- Shaniqua Bennett
- Carl W Berk
- Joel Alan Berman
- Lorraine Mayer-Wolpert Berman
- Kimberlee Young Berner
- John Berry VII
- Robin E Berry
- Best Day Psychiatry and Counseling, PC
- Ebonee Bethea
- Latasha Bethea
All providers in Pinehurst, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.