Individual provider Active NPI

Robert Wetzel, MD

  • Internal Medicine Physician
  • Manteo, NC
National Provider Identifier
1740774983
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2025-00668 Issued in NC
Practice address
604 Amanda St
Manteo, NC 27954-9039
Phone
(252) 473-3478
NPI assigned
Jun 20, 2018
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2025-00668 NC Primary
Internal Medicine Physician 207R00000X 25MA11113800 NJ

Addresses

Primary practice location

604 Amanda St
Manteo, NC 27954-9039

Mailing address

604 Amanda St
Manteo, NC 27954-9039
Phone (252) 473-3478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210729001834 NJ Practitioner - Internal Medicine 4587067442 Reassigns benefits to 1 organization
I20250616003022 NC Practitioner - Internal Medicine 4587067442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

604 Amanda St
Manteo, NC 27954-9039
Phone (252) 473-3478

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
81.58
Promoting interoperability
99.4
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Family Medicine PC CurrentSince Jul 31, 2021 Accepting new patients
Cooper Family Medicine, PC CurrentSince Jul 31, 2021 Accepting new patients
Outer Banks Professional Services, LLC Internal Medicine CurrentSince Jun 6, 2025 Accepting new patients

Locations

604 Amanda St
Manteo, NC 27954
Phone (252) 473-3478

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

504 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-7990

1001 Lincoln Dr W
Ste F
Marlton, NJ 08053
Phone (609) 810-1800

900 Centennial Blvd
Ste 202
Voorhees, NJ 08043
Phone (856) 325-6700

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.

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1740774983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 AMANDA ST",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279549039",
            "telephone_number": "252-473-3478",
            "fax_number": "252-473-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 AMANDA ST",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279549039",
            "telephone_number": "252-473-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2025-00668",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11113800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteo, NC

Sources for this page

Verify at the official NPI Registry.