Nancy Elizabeth Bogenrieder, APRN, FNP-C
Individual provider Active NPI Nurse Practitioner · Clemmons, NC
NPI 1821472648 · NPPES record last updated Apr 25, 2025
Key facts
- NPI
- 1821472648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5019673 (NC)
- Practice address
- 4740 Commercial Park CT
Clemmons, NC 27012-9387 - Phone
- (336) 245-9521
- Fax
- (855) 308-2340
- NPI assigned
- Jul 10, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lamond Family Medicine PLLC
Practice addresses (Care Compare)
4740 Commercial Park CT
Clemmons, NC 27012-9387
Phone (336) 245-9521
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in OH, TN, SC, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230209002880 | OH | Practitioner - Nurse Practitioner | 6204138589 | |
| I20240416000661 | TN | Practitioner - Nurse Practitioner | 6204138589 | |
| I20240422001298 | SC | Practitioner - Nurse Practitioner | 6204138589 | |
| I20240626001091 | NC | Practitioner - Nurse Practitioner | 6204138589 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lamond Family Medicine, PLLC | Current |
Accepting new patients | |
| Lone Star Community Health Center, Inc. | Past |
Accepting new patients |
Locations
4740 Commercial Park Ct
Clemmons, NC 27012
Phone (336) 245-9521
317 N King St
#A
Hendersonvlle, NC 28792
Phone (828) 693-3344
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5019673 | NC | Yes |
Addresses
Primary practice location
4740 Commercial Park CT
Clemmons, NC 27012-9387
Mailing address
PO Box 360
Sylva, NC 28779-0360
Phone (888) 339-6065
Other providers in Clemmons, NC
- Frances Amanda Blackwell
- Ekaterina Blanco
- James William Bodie Jr.
- Bodycare Chiropractic Inc
- Lauren Boehnlein
- Benjamin Keith Boles
- Carl David Bollinger
- Aubrey Gayle Boos
- Holly Antony Borders
- Jessica Diane Born
All providers in Clemmons, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.