Active NPI
Jennifer Mead Uebele, MSN-ARNP
- Gerontology Nurse Practitioner
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 5009081
- Practice address
- 160 Mine Lake CT Ste 200
Raleigh, NC 27615 - Phone
- (305) 466-9988
- NPI assigned
- Jun 16, 2015
- Last updated
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5009081 | NC | |
| Gerontology Nurse Practitioner | 363LG0600X | 5009081 | NC | Primary |
Addresses
Primary practice location
160 Mine Lake CT Ste 200
Raleigh, NC 27615
Mailing address
3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (305) 466-9988
Other names 1
- Miss Jennifer Gayle Mead
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Sunnybrook Rd
Raleigh, NC 27610-1807
Phone (919) 231-6150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5009081 | NC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Surgical Management SC PA | Nurse Practitioner | Current | Accepting new patients |
| QSM-NC, PA | Current | Accepting new patients | |
| QSM-Ky, Inc | Past | Accepting new patients |
Locations (25 of 33)
21150 Biscayne Blvd
Ste 400
Aventura, FL 33180
3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013
455 Victoria Rd
Asheville, NC 28801
Phone (828) 252-0099
401 Lambert Rd
Biscoe, NC 27209
Phone (910) 428-2117
2415 Sandy Porter Rd
Charlotte, NC 28273
Phone (704) 583-0430
111 Harrelson Rd
Cherryville, NC 28021
Phone (704) 435-4161
3100 Erwin Rd
Durham, NC 27705
Phone (828) 652-3022
5935 Mount Sinai Rd
Durham, NC 27705
Phone (919) 402-2450
969 Cox Rd
Gastonia, NC 28054
Phone (704) 266-8596
6300 Roberta Rd
Harrisburg, NC 28075
Phone (704) 455-5553
1410 E Gaston St
Lincolnton, NC 28092
Phone (704) 732-1138
345 Manor Rd
Mars Hill, NC 28754
Phone (828) 252-3646
311 W Phifer St
Marshville, NC 28103
Phone (336) 624-6643
3510 W Highway 74
Monroe, NC 28110
Phone (704) 291-8500
1010 Lakeview Dr
Pineville, NC 28134
Phone (704) 889-2273
25 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 231-6150
804 S Long Dr
Rockingham, NC 28379
Phone (910) 997-4493
2051 Country Club Rd
Wadesboro, NC 28170
Phone (704) 694-4106
405 S Green St
Wadesboro, NC 28170
Phone (704) 695-3301
439 North St
Bamberg, SC 29003
Phone (803) 245-6227
400 Moffat Dr
Cheraw, SC 29520
Phone (843) 320-7500
2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555
505 S Live Oak Dr
Moncks Corner, SC 29461
Phone (843) 761-8368
1885 Rifle Range Rd
Mt Pleasant, SC 29464
Phone (843) 856-4700
921 Bowman Rd
Mt Pleasant, SC 29464
Phone (843) 375-2901
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Durham, NC
- NPI 1881136893
-
- Surgery Physician
- North Augusta, SC
- NPI 1508289638
Nurse Practitioner
-
- General Practice Physician
- Hollywood, FL
- NPI 1114539202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1700267689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 S OCEAN DR STE 209",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330192915",
"telephone_number": "305-466-9988",
"fax_number": "305-466-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 MINE LAKE CT STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27615",
"telephone_number": "305-466-9988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UEBELE",
"first_name": "JENNIFER",
"middle_name": "MEAD",
"name_prefix": "Mrs.",
"credential": "MSN-ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5009081",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5009081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MEAD",
"middle_name": "GAYLE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.