Active NPI
Vanessa S Cain, FNP
- Family Medicine Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 201753
- Practice address
- 929 N Front St
Wilmington, NC 28401-3331 - Phone
- (910) 558-7399
- Fax
- (919) 654-9306
- NPI assigned
- Jul 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 201753 | NC | Primary |
| Registered Nurse | 163W00000X | 97858 | NC |
Addresses
Primary practice location
929 N Front St
Wilmington, NC 28401-3331
Mailing address
8425 Fazio Dr
Wilmington, NC 28411-7692
Phone (910) 558-7399
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 Eastwood Rd
Suite 102
Wilmington, NC 28403-1866
Phone (910) 362-9311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97858 | NC | MD | Registered Nurse |
| 201753 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Healthcare Group LLC | Current | Accepting new patients | |
| Liberty Healthcare Group, LLC | Current | Accepting new patients |
Locations
2334 41st St
Wilmington, NC 28403
Phone (910) 815-3122
420 Eastwood Rd
Ste 102
Wilmington, NC 28403
Phone (910) 251-8111
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.
-
dba Liberty Home Care, LLC
- Case Management Agency
- Wilmington, NC
- NPI 1629217856
-
dba Golden Years Nursing Center
- Skilled Nursing Facility
- Falcon, NC
- NPI 1912040379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1780603522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8425 FAZIO DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284117692",
"telephone_number": "910-558-7399",
"fax_number": "919-654-9306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 N FRONT ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284013331",
"telephone_number": "910-558-7399",
"fax_number": "919-654-9306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "VANESSA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "201753",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "97858",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.