Individual provider Active NPI

Lindsey Austin Reddersen, ANP

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1750570305
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5003633 Issued in NC
Practice address
Medical Center Blvd
Winston Salem, NC 27157-6477
Phone
(336) 716-6674
NPI assigned
Oct 19, 2007
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1075595 TX
Adult Health Nurse Practitioner 363LA2200X 0050-03633 NC
Nurse Practitioner 363L00000X 5003633 NC Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-6477

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-6674

Other practice location 1

5306 NC Hwy 55, Suite 102
Durham, NC 27713
Phone (919) 794-5440

Other practice location 2

2800 Blue Ridge Rd Ste 400
Raleigh, NC 27607-6477
Phone (919) 787-5380

Other practice location 3

3000 N. IH-35, Suite 700
Austin, TX 78705
Phone (512) 807-3150

Other names 1

  • Lindsey Renee Austin Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lreddersen40331@directHISP.wakemed.org Direct
Direct Messaging Address lreddersen7258@direct.UNC.nchie.net Direct

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
I20080228000780 NC Practitioner - Nurse Practitioner 4981788957 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NHCS Physicians IncGroup PAC ID 7719209154, 97 clinicians
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-8124

2800 Blue Ridge Rd
Suite 400
Raleigh, NC 27607-6477
Phone (919) 787-5380

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5003633NCMDNurse Practitioner
0050-03633NCMDAdult Health Nurse Practitioner
1075595TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Oct 15, 2024 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
North Carolina MG, LLC CurrentSince Jun 1, 2025 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Aug 22, 2019 Accepting new patients
NHCS Physicians Inc CurrentSince Sep 3, 2024 Accepting new patients

Locations

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

2800 Blue Ridge Rd
Ste 400
Raleigh, NC 27607
Phone (919) 784-3756

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3000 New Bern Ave
Ste G100
Raleigh, NC 27610
Phone (919) 231-6132

3324 Six Forks Rd
Raleigh, NC 27609
Phone (919) 781-7772

4201 Lake Boone Trl
Ste 104
Raleigh, NC 27607
Phone (919) 881-0160

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

2460 Curtis Ellis Dr
Bldg 100
Rocky Mount, NC 27804
Phone (252) 962-2328

901 N Winstead Ave
Ste 430
Rocky Mount, NC 27804
Phone (252) 962-6300

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: lreddersen2925320@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: lreddersen40331@directhisp.wakemed.org
  • Direct secure messaging: lreddersen710475@ahs.direct-ci.com
  • Direct secure messaging: lreddersen7258@direct.unc.nchie.net

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 7

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": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1750570305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-6674",
            "fax_number": "336-716-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271576477",
            "telephone_number": "336-716-6674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5306 NC Hwy 55, Suite 102",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "27713",
            "country_code": "US",
            "telephone_number": "919-794-5440",
            "fax_number": "919-794-5447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Blue Ridge Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076477",
            "country_code": "US",
            "telephone_number": "919-787-5380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 N. IH-35, Suite 700",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78705",
            "country_code": "US",
            "telephone_number": "512-807-3150",
            "fax_number": "512-458-7879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDERSEN",
        "first_name": "LINDSEY",
        "middle_name": "AUSTIN",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1075595",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "0050-03633",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5003633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lreddersen40331@directHISP.wakemed.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "3000 New Bern Ave",
            "address_2": "Suite G100",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276101231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lreddersen7258@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2800 Blue Ridge Rd Ste 400",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276076477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "AUSTIN",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.