Individual provider Active NPI

Margaret McRae Bovender, NP

  • Nurse Practitioner
  • Advance, NC
National Provider Identifier
1821260829
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5003923 Issued in NC
Practice address
121 Medical Dr
Advance, NC 27006-6651
Phone
(336) 998-9060
Fax
(336) 998-9060
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5003923 NC Primary

Addresses

Primary practice location

121 Medical Dr
Advance, NC 27006-6651

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 998-9060

Other identifiers 1

IdentifierTypeStateIssuer
7004181MedicaidNC

Other names 1

  • Margaret Ashley McRae Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MBOVENDER4613@DIRECT.NOVANTHEALTH.ORG

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
I20090112000758 NC Practitioner - Nurse Practitioner 4981767225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

121 Medical Dr
Advance, NC 27006-6651
Phone (336) 998-9060

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5003923NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2019 Accepting new patients
Forsyth Memorial Hospital Inc CurrentSince Nov 1, 2009 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Nov 1, 2009 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

121 Medical Dr
Advance, NC 27006
Phone (336) 940-2407

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

485 Valley Rd
Mocksville, NC 27028
Phone (336) 751-8000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1821260829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-998-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MEDICAL DR",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270066651",
            "telephone_number": "336-998-9060",
            "fax_number": "336-998-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVENDER",
        "first_name": "MARGARET",
        "middle_name": "MCRAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5003923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004181",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MBOVENDER4613@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "121 Medical Dr",
            "city": "Advance",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270066651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "MCRAE",
            "middle_name": "ASHLEY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Advance, NC

Sources for this page

Verify at the official NPI Registry.