Individual provider Active NPI

Joshua Nicholas Ellerbrock, DNP, FNP

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1699261818
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010680 Issued in ND
Practice address
5429 Wrightsville Ave
Wilmington, NC 28403-6513
Phone
(910) 792-1001
Fax
(910) 792-1004
NPI assigned
Jul 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010680 NC
Family Nurse Practitioner 363LF0000X 5010680 ND Primary

Addresses

Primary practice location

5429 Wrightsville Ave
Wilmington, NC 28403-6513

Mailing address

5429 Wrightsville Ave
Wilmington, NC 28403-6513
Phone (910) 792-1001

Other practice location 1

4833 Carolina Beach Rd Ste 105-106
Wilmington, NC 28412-2371
Phone (910) 332-7900

Other practice location 2

204 S. Walker Street
Burgaw, NC 28425-0005
Phone (910) 259-2591

Other practice location 3

1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone (910) 341-3300

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
I20190624002214 NC Practitioner - Nurse Practitioner 1951635051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

8066 B Market St
Wilmington, NC 28411-9384
Phone (910) 686-8485

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5010680NCMDNurse Practitioner
5010680NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Health PLLC Current Accepting new patients
Wilmington Health PLLC CurrentSince May 22, 2019 Accepting new patients
Wilmington ASC LLC CurrentSince May 22, 2019 Accepting new patients
Pelican Family Medicine at Monkey Junction Past Accepting new patients

Locations

1000 Brabham Ave
Jacksonville, NC 28546
Phone (910) 347-1515

9101 Ocean Hwy E
Leland, NC 28451
Phone (910) 343-5464

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

Interoperability endpoints

  • Direct secure messaging: joshua.ellerbrock.p1@direct.wilmingtonhealth.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1699261818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036513",
            "telephone_number": "910-792-1001",
            "fax_number": "910-792-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036513",
            "telephone_number": "910-792-1001",
            "fax_number": "910-792-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4833 Carolina Beach Rd Ste 105-106",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122371",
            "country_code": "US",
            "telephone_number": "910-332-7900",
            "fax_number": "910-332-7905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 S. Walker Street",
            "address_purpose": "LOCATION",
            "city": "Burgaw",
            "state": "NC",
            "postal_code": "284250005",
            "country_code": "US",
            "telephone_number": "910-259-2591",
            "fax_number": "910-259-2596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017307",
            "country_code": "US",
            "telephone_number": "910-341-3300",
            "fax_number": "910-251-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLERBROCK",
        "first_name": "JOSHUA",
        "middle_name": "NICHOLAS",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010680",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "5010680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.