Stephen Immordino, MSN, FNP, NP-C, CDE

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5011944 Issued in NC

Practice address

3724 Wireless Dr
Greensboro, NC 27455-3312

Phone

(336) 540-9991

NPI assigned

Jul 1, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M Medical NC PLLCGroup PAC ID 3870035066, 32 clinicians

Pai Participant 29 PCGroup PAC ID 6002216215, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• M Medical NC PLLC

  • Internal Medicine Physician
  • Lexington, NC
  • NPI 1770337412
  Medicare reassignment Care Compare group NPD
• Pai Participant 29, P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Lexington, NC
  • NPI 1245813757
  Medicare reassignment Care Compare group
• Alamance Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Burlington, NC
  • NPI 1326010273
  Medicare reassignment NPD
• The Moses H Cone Memorial Hospital Operating Corporation

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1356372064

  Family Medicine

  Medicare reassignment NPD
• Alamance Regional Medical Center, Inc

  • Pharmacy
  • Burlington, NC
  • NPI 1851681993
  NPD
• The Moses H Cone Memorial Hospital Operating Corporation

  • Community/Retail Pharmacy
  • Eden, NC
  • NPI 1861222507
  NPD
• The Moses H. Cone Memorial Hospital Operating Corporation

  • Certified Registered Nurse Anesthetist
  • Greensboro, NC
  • NPI 1164438578

  Family Medicine

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1760044762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 WENDY LN",
            "city": "EFLAND",
            "state": "NC",
            "postal_code": "272439675",
            "telephone_number": "516-319-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 WIRELESS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553312",
            "telephone_number": "336-540-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMMORDINO",
        "first_name": "STEPHEN",
        "credential": "MSN, FNP, NP-C, CDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5011944",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami Lee Ike, AU.D.
• Jaseela Illath, M.D.
• Amanee Imad, MD
• Imaging Specialists of NC, PLLC
• Immanuel Family Practice
• Impact4Today, PLLC
• Imu Consulting and Counseling Services, LLC
• In Form Healthcare, Inc
• In Home Quality Care of NC
• In Loving Hnads Home Care

• Family Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.