Individual provider Active NPI

Mary Elizabeth Hartsell, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1760573612
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201194 Issued in NY
Practice address
1500 Sunday Dr Ste 200
Raleigh, NC 27607-5151
Phone
(919) 322-2413
Fax
(919) 322-2416
NPI assigned
Sep 27, 2006
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201194 NY Primary

Addresses

Primary practice location

1500 Sunday Dr Ste 200
Raleigh, NC 27607-5151

Mailing address

1500 Sunday Dr
Ste 200
Raleigh, NC 27607-5151
Phone (919) 322-2413

Other identifiers 1

IdentifierTypeStateIssuer
7000168MedicaidNC

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
I20111205000638 NC Practitioner - Nurse Practitioner 3173798006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Behavioral Health and Healing Practice PLLCGroup PAC ID 6709268741, 5 clinicians

Practice addresses (Care Compare)

1829 E Franklin St
Suite 1200D
Chapel Hill, NC 27514-5838
Phone (984) 288-0880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201194NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Behavioral Health & Healing Practice PLLC Psychiatric/Mental Health CurrentSince Mar 1, 2022 Accepting new patients
James P Lefler, MD PLLC CurrentSince Aug 28, 2022 Accepting new patients

Locations

1829 E Franklin St
Ste 1200D
Chapel Hill, NC 27514
Phone (704) 467-3720

1048 Terrace Dr
Marion, VA 24354
Phone (276) 477-4246

Interoperability endpoints

  • Direct secure messaging: mhartsell@direct.wakepsych.nchie.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1760573612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SUNDAY DR",
            "address_2": "STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075151",
            "telephone_number": "919-322-2413",
            "fax_number": "919-322-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SUNDAY DR STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075151",
            "telephone_number": "919-322-2413",
            "fax_number": "919-322-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSELL",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "201194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000168",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.