Active NPI
Jill Renee Engel, NP
- Acute Care Nurse Practitioner
- Durham, NC
National Provider Identifier
1770525222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 200936
- Practice address
- Dumc 3458
Erwin Road
Durham, NC 27710-0001 - Phone
- (919) 681-6784
- Fax
- (919) 681-7163
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 200936 | NC | |
| Acute Care Nurse Practitioner | 363LA2100X | 200936 | NC | Primary |
| Family Nurse Practitioner | 363LF0000X | 200936 | NC |
Addresses
Primary practice location
Dumc 3458
Erwin Road
Durham, NC 27710-0001
Mailing address
Dumc 3458
Erwin Road
Durham, NC 27710-0001
Phone (919) 681-6784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163932758 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200936 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Past | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Past | Accepting new patients | |
| Cape Fear Cardiovascular & Thoracic Surgery PA | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Interoperability endpoints
- jengel55770@direct.medicine.duke.edu
Organizations & group practices 3
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fayetteville, NC
- NPI 1235192725
-
- Internal Medicine Physician
- Durham, NC
- NPI 1376574798
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1770525222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DUMC 3458",
"address_2": "ERWIN ROAD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100001",
"telephone_number": "919-681-6784",
"fax_number": "919-681-7163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DUMC 3458",
"address_2": "ERWIN ROAD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100001",
"telephone_number": "919-681-6784",
"fax_number": "919-681-7163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGEL",
"first_name": "JILL",
"middle_name": "RENEE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "200936",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NC",
"license": "200936",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "200936",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163932758",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.