Individual provider Active NPI

Hannah Deanes Ziebol, FNP

  • Family Nurse Practitioner
  • Wallace, NC
National Provider Identifier
1760175657
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5018153 Issued in NC
Practice address
110 Eastwood Dr
Wallace, NC 28466-9201
Phone
(910) 285-2330
Fax
(910) 320-8429
NPI assigned
May 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2023

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 5018153 NC Primary

Addresses

Primary practice location

110 Eastwood Dr
Wallace, NC 28466-9201

Mailing address

2043 Southern Pine Dr
Leland, NC 28451-9446
Phone (540) 241-7478

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
I20230629003268 NC Practitioner - Nurse Practitioner 8123487766 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center, Incorporated Current Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jun 16, 2023 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jun 16, 2023 Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

110 Eastwood Dr
Wallace, NC 28466
Phone (910) 285-2330

Interoperability endpoints

  • Direct secure messaging: hziebol@goshenmedical.cloudcraftdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1760175657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 SOUTHERN PINE DR",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519446",
            "telephone_number": "540-241-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EASTWOOD DR",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284669201",
            "telephone_number": "910-285-2330",
            "fax_number": "910-320-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEBOL",
        "first_name": "HANNAH",
        "middle_name": "DEANES",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallace, NC

Sources for this page

Verify at the official NPI Registry.