Individual provider Active NPI

Abel Jose Soto, FNP-C

  • Family Nurse Practitioner
  • Raeford, NC
National Provider Identifier
1740055045
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SOTO-FMS9N Issued in NC
Practice address
313 Teal Dr
Raeford, NC 28376-2527
Phone
(910) 904-1037
NPI assigned
Nov 16, 2023
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 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 SOTO-FMS9N NC Primary

Addresses

Primary practice location

313 Teal Dr
Raeford, NC 28376-2527

Mailing address

4225 7 LKS W
West End, NC 27376-9306
Phone (973) 689-4859

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
I20240102001864 NC Practitioner - Nurse Practitioner 9335599489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FHPG LLCGroup PAC ID 9537481569, 195 clinicians

Practice addresses (Care Compare)

313 Teal Dr
Raeford, NC 28376-2567
Phone (910) 904-2350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SOTO-FMS9NNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FHPG, LLC CurrentSince Dec 6, 2023 Accepting new patients
FHPG, LLC Current Accepting new patients
FHPG, LLC CurrentSince Dec 6, 2023 Accepting new patients
FHPG, LLC Past Accepting new patients

Locations

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

313 Teal Dr
Raeford, NC 28376
Phone (910) 904-2350

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1740055045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 7 LKS W",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273769306",
            "telephone_number": "973-689-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 TEAL DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762527",
            "telephone_number": "910-904-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "ABEL",
        "middle_name": "JOSE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "SOTO-FMS9N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

Verify at the official NPI Registry.