Individual provider Active NPI

Patricia Ann Reichert, D.O.

  • Family Medicine Physician
  • Cedar Point, NC
National Provider Identifier
1730490632
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
201200022 Issued in NC
Practice address
540 Cedar Point Blvd
Cedar Point, NC 28584-8008
Phone
(252) 393-6374
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 201200022 NC Primary

Addresses

Primary practice location

540 Cedar Point Blvd
Cedar Point, NC 28584-8008

Mailing address

505 N 35TH St
Morehead City, NC 28557-3120
Phone (252) 247-1209

Other practice location 1

505 N 35th St
Morehead City, NC 28557-3120
Phone (252) 247-1209

Other names 1

  • Dr. Patricia Ann Maxim 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170807002359 NC Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6507096716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
West Virginia School of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Crystal Coast Family PracticeGroup PAC ID 4486620887, 12 clinicians

Practice addresses (Care Compare)

2654 M L King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 637-0093

540 Cedar Point Blvd
Cedar Point, NC 28584-8008
Phone (252) 393-6374

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Coast Family Practice Family Medicine CurrentSince May 30, 2017 Accepting new patients

Locations

540 Cedar Point Blvd
Cedar Point, NC 28584
Phone (252) 393-2532

505 N 35th St
Morehead City, NC 28557
Phone (252) 247-1209

Interoperability endpoints

  • Direct secure messaging: patriciareichert@ccfp.allscriptsdirect.net

Organizations & group practices 1

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

Hospital & facility affiliations 4

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1730490632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N 35TH ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573120",
            "telephone_number": "252-247-1209",
            "fax_number": "252-726-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 CEDAR POINT BLVD",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285848008",
            "telephone_number": "252-393-6374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 N 35th St",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "285573120",
            "country_code": "US",
            "telephone_number": "252-247-1209",
            "fax_number": "252-247-1209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICHERT",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "201200022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MAXIM",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Point, NC

Sources for this page

Verify at the official NPI Registry.