Individual provider Active NPI

Jessica Nicole Schild, NP

  • Family Nurse Practitioner
  • Goldsboro, NC
National Provider Identifier
1700360369
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216719 Issued in NC
Practice address
2803 Medical Place
BLDG 2803
Goldsboro, NC 27531
Phone
(919) 722-1580
NPI assigned
Sep 19, 2018
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 216719 NC Primary

Addresses

Primary practice location

2803 Medical Place
BLDG 2803
Goldsboro, NC 27531

Mailing address

2803 Medical Campus Dr
BLDG 2803
Goldsboro, NC 27531-8520
Phone (919) 722-1580

Other names 1

  • Jessica Nicole Boggs Former name

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
I20190304000585 NC Practitioner - Nurse Practitioner 3375882715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immediate Care of Goldsboro PLLCGroup PAC ID 5991603979, 12 clinicians

Practice addresses (Care Compare)

130 James Ave
Locust, NC 28097-4506
Phone (704) 296-4508

2604 Medical Office PL
Goldsboro, NC 27534-9417
Phone 9195800004109

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Dec 13, 2023 Accepting new patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Dec 13, 2023 Accepting new patients
Immediate Care of Goldsboro, PLLC CurrentSince Jun 11, 2025 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

2604 Medical Office Pl
Goldsboro, NC 27534
Phone (919) 580-0004

130 James Ave
Locust, NC 28097
Phone (704) 271-3777

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1700360369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 MEDICAL CAMPUS DR",
            "address_2": "BLDG 2803",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275318520",
            "telephone_number": "919-722-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 MEDICAL PLACE",
            "address_2": "BLDG 2803",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27531",
            "telephone_number": "919-722-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILD",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "216719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BOGGS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.