Nathan Dale Barkley, FNP
Individual provider Active NPI Family Nurse Practitioner · Statesville, NC
NPI 1760091649 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1760091649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5013375 (NC)
- Practice address
- 1404 Fern Creek Dr
Statesville, NC 28625-2862 - Phone
- (704) 978-4025
- NPI assigned
- Jul 28, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Healthcare PA
Practice addresses (Care Compare)
633 Brookdale Dr
Suite 300
Statesville, NC 28677-3403
Phone (704) 873-3250
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200817000656 | NC | Practitioner - Nurse Practitioner | 0244656635 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240362 | NC | MD | Registered Nurse |
| 5013375 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Healthcare, PA | Current |
Accepting new patients | |
| Piedmont Healthcare, P.a. | Current |
Accepting new patients |
Locations
650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277
208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215
633 Brookdale Dr
Ste 300
Statesville, NC 28677
Phone (704) 873-3250
1404 Fern Creek Dr
Statesville, NC 28625
Phone (704) 978-4025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 240362 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5013375 | NC | Yes |
Addresses
Primary practice location
1404 Fern Creek Dr
Statesville, NC 28625-2862
Mailing address
PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277
Other providers in Statesville, NC
- Barium Springs Home for Children
- Barium Springs Home for Children
- Barium Springs Home for Children
- Barium Springs Home for Children Targeted Case Management
- Sarah Cochran Barker
- Julie Barnett
- Gloria Ostafy Bartelt
- Perry Lester Bartelt
- Bartlett Grigsby Boan & Assoc PLLC
- Rick Dale Bartlett
All providers in Statesville, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.