NPIMap

Individual provider Active NPI

Jessica Lynn Mabe, FNP-BC

  • Family Nurse Practitioner
  • Elkin, NC
National Provider Identifier
1750016523
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016481 Issued in NC
Practice address
180 Parkwood Dr
Elkin, NC 28621-2430
Phone
(336) 527-7000
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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 5016481 NC Primary

Addresses

Primary practice location

180 Parkwood Dr
Elkin, NC 28621-2430

Mailing address

180 Parkwood Dr
Elkin, NC 28621-2430
Phone (336) 527-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221020001920 NC Practitioner - Nurse Practitioner 5991171662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5229 Rock Creek Rd
Hays, NC 28635-9267
Phone (336) 696-2711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hugh Chatham Memorial Hospital, Inc. Current Accepting new patients
Hugh Chatham Memorial Hospital, Inc CurrentSince Aug 29, 2022 Accepting new patients
Hugh Chatham Memorial Hospital, Inc. Family CurrentSince Aug 29, 2022 Accepting new patients
Hugh Chatham Memorial Hospital Past Accepting new patients
Hugh Chatham Memorial Hospital, Inc Past Accepting new patients

Locations

911 E Atkins St
#D
Dobson, NC 27017
Phone (336) 374-1010

631 CC Camp Rd
Elkin, NC 28621
Phone (336) 366-1072

600 Chatham Medical Park
Elkin, NC 28621
Phone (336) 527-7000

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

400 Chatham Medical Park
Elkin, NC 28621
Phone (336) 527-3371

360 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-5960

5229 Rock Creek Rd
Hays, NC 28635
Phone (336) 696-2711

546 Winston Rd
Jonesville, NC 28642
Phone (336) 526-0037

Interoperability endpoints

  • Direct secure messaging: jlmabe@hcfme.gwaydirect.com
  • Direct secure messaging: jmabe@hcfmw.gwaydirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1750016523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PARKWOOD DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212430",
            "telephone_number": "336-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PARKWOOD DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212430",
            "telephone_number": "336-527-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABE",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkin, NC

Sources for this page

Verify at the official NPI Registry.