Individual provider Active NPI

Callie Stumbaugh

  • Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1689463994
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5022093 Issued in NC
Practice address
557 Sandhurst Dr
Fayetteville, NC 28304-4433
Phone
(910) 484-8114
NPI assigned
May 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5022093 NC Primary

Addresses

Primary practice location

557 Sandhurst Dr
Fayetteville, NC 28304-4433

Mailing address

557 Sandhurst Dr
Fayetteville, NC 28304-4433
Phone (910) 484-8114

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
I20250815001358 NC Practitioner - Nurse Practitioner 5395244511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Kidney Care PAGroup PAC ID 4587576020, 24 clinicians

Practice addresses (Care Compare)

810 Wesley Pines Rd
Lumberton, NC 28358-2358
Phone (910) 618-1055

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5022093NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Kidney Care, PA Nephrology CurrentSince Jun 9, 2025 Accepting new patients
Bio-Medical Applications of Fayetteville, Inc. Past Accepting new patients

Locations

219 Martin Luther King Jr Dr
Bladenboro, NC 28320

219 MLK Jr Dr
Bladenboro, NC 28320

1740 Southeast Blvd
Clinton, NC 28328
Phone (910) 592-1600

101 Dialysis Dr
Elizabethtown, NC 28337
Phone (910) 862-7022

704 S Walnut St
Fairmont, NC 28340
Phone (910) 628-6898

557 Sandhurst Dr
Fayetteville, NC 28304

150 Robeson St
Fayetteville, NC 28301
Phone (910) 609-1000

6959 Nexus Ct
Fayetteville, NC 28304
Phone (910) 867-2602

130 Longview Dr
Fayetteville, NC 28311
Phone (910) 482-3491

2560 Legion Rd
Fayetteville, NC 28306
Phone (910) 323-5288

526 Ramsey St
Fayetteville, NC 28301
Phone (704) 989-1800

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

810 Wesley Pines Rd
Lumberton, NC 28358
Phone (910) 618-1055

720 Wesley Pines Rd
Lumberton, NC 28358
Phone (910) 738-2421

1250 Linkhaw Rd
Lumberton, NC 28358
Phone (910) 348-8760

1327 Harry West Ln
Pembroke, NC 28372
Phone (910) 522-7126

285 Paraclete Dr
Raeford, NC 28376
Phone (910) 878-0052

403 S Main St
Raeford, NC 28376
Phone (910) 875-6561

11016 Red Springs Rd
Red Springs, NC 28377
Phone (910) 843-3205

1000 E 4th Ave
Red Springs, NC 28377
Phone (910) 843-9311

100 E Pleasant St
Roseboro, NC 28382
Phone (910) 525-0405

Interoperability endpoints

  • Direct secure messaging: cstumbaugh78904@direct.acumenmd.com

Organizations & group practices 2

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": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1689463994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044433",
            "telephone_number": "910-484-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044433",
            "telephone_number": "910-484-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMBAUGH",
        "first_name": "CALLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5022093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.