Individual provider Active NPI

Jennifer Mead Uebele, MSN-ARNP

  • Gerontology Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1700267689
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5009081 Issued in NC
Practice address
160 Mine Lake CT Ste 200
Raleigh, NC 27615
Phone
(305) 466-9988
NPI assigned
Jun 16, 2015
Last updated
Mar 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 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 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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161228002250 NC Practitioner - Nurse Practitioner 1456669191 Reassigns benefits to 1 organization
I20190829002840 SC Practitioner - Nurse Practitioner 1456669191 Reassigns benefits to 1 organization

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
QSM-NC PAGroup PAC ID 1052695798, 17 clinicians

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

LicenseStateTypeSpecialty
5009081NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Surgical Management SC PA Nurse Practitioner CurrentSince Jul 8, 2019 Accepting new patients
QSM-NC, PA CurrentSince Mar 1, 2020 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.

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

Verify at the official NPI Registry.