Organization Active NPI

Cape Fear Health & Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1720568660
Registry record updated Nov 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
172823 Issued in NC
Legal business name
CAPE FEAR HEALTH & WELLNESS, PLLC
Practice address
3333 Wrightsville Ave Unit G
Wilmington, NC 28403-4115
Phone
(910) 367-5994
Fax
(844) 523-8911
NPI assigned
Aug 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2019

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

Authorized official

Name
Dr. Nicholas Stanley Carte, PHD, A/GNP-CNPI 1285032979
Title
Owner
Phone
(910) 367-5994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 172823 NC Primary

Addresses

Primary practice location

3333 Wrightsville Ave Unit G
Wilmington, NC 28403-4115

Mailing address

3333 Wrightsville Ave Unit G
Wilmington, NC 28403-4115
Phone (910) 367-5994

Other identifiers 1

IdentifierTypeStateIssuer
1285032979MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190423002764 NC Part B Supplier - Clinic/Group Practice 4981946928 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2175729Cape Fear Health & Wellness, PLLC3333 Wrightsville Avenue, Wilmington, NC 28403Certificate of waiverNov 26, 2027

National Provider Directory

National Provider Directory

Locations

3333 Wrightsville Ave
#G
Wilmington, NC 28403
Phone (910) 367-5994

201 N Front St
Ste 201
Wilmington, NC 28401
Phone (910) 765-1003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573257600000",
    "number": "1720568660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 WRIGHTSVILLE AVE UNIT G",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034115",
            "telephone_number": "910-367-5994",
            "fax_number": "844-523-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 WRIGHTSVILLE AVE UNIT G",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034115",
            "telephone_number": "910-367-5994",
            "fax_number": "844-523-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR HEALTH & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2019-11-09",
        "status": "A",
        "authorized_official_last_name": "CARTE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-367-5994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, A/GNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "172823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285032979",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.