Individual provider Active NPI

Deborah Ann Duchesneau, FNP

  • Family Nurse Practitioner
  • Whiteville, NC
National Provider Identifier
1790713501
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201639 Issued in NC
Practice address
619 Jefferson St
Whiteville, NC 28472-3707
Phone
(910) 642-0331
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201639 NC
Family Nurse Practitioner 363LF0000X 201639 NC Primary

Addresses

Primary practice location

619 Jefferson St
Whiteville, NC 28472-3707

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

509 Olde Waterford Way
Ste 305
Leland, NC 28451-4125
Phone (910) 641-8640

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dduchesneau954654@CarolinasHealthcareSystem.direct-ci.com Columbus Regional Healthcare System, Inc.
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

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
I20040830000063 NC Practitioner - Nurse Practitioner 3577538008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Regional Health NetworkGroup PAC ID 6608924931, 48 clinicians

Practice addresses (Care Compare)

509 Olde Waterford Way
Suite 305
Leland, NC 28451-4179
Phone (910) 641-8640

619 Jefferson St
Whiteville, NC 28472-3707
Phone (910) 642-0331

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201639NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Healthcare System CurrentSince Dec 1, 2015 Accepting new patients
Columbus Regional Health Network CurrentSince Feb 19, 2018 Accepting new patients
Columbus Regional Health Network CurrentSince Feb 19, 2018 Accepting new patients
Columbus Regional Healthcare System CurrentSince Dec 1, 2015 Accepting new patients
Columbus Regional Health Network Current Accepting new patients
Columbus Regional Health Network Past Accepting new patients
Partners in Endocrinology and Diabetes PLLC Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

509 Olde Waterford Way
Ste 305
Leland, NC 28451
Phone (910) 515-1506

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

320 Jefferson St
Whiteville, NC 28472
Phone (910) 641-8600

612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064

619 Jefferson St
Whiteville, NC 28472
Phone (910) 642-0331

Interoperability endpoints

  • Direct secure messaging: dduchesneau954654@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1790713501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723707",
            "telephone_number": "910-642-0331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Olde Waterford Way",
            "address_2": "Ste 305",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284514125",
            "country_code": "US",
            "telephone_number": "910-641-8640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCHESNEAU",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-07-15",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201639",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dduchesneau954654@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Columbus Regional Healthcare System, Inc.",
            "address_1": "619 Jefferson St",
            "city": "Whiteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284723707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.