Individual provider Active NPI

Nancy Elizabeth Bogenrieder, APRN, FNP-C

  • Nurse Practitioner
  • Clemmons, NC
National Provider Identifier
1821472648
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5019673 Issued in NC
Practice address
4740 Commercial Park CT
Clemmons, NC 27012-9387
Phone
(336) 245-9521
Fax
(855) 308-2340
NPI assigned
Jul 10, 2015
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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 5019673 NC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN, SC, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 6103802012, 49 clinicians

Practice addresses (Care Compare)

4740 Commercial Park CT
Clemmons, NC 27012-9387
Phone (336) 245-9521

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5019673NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lamond Family Medicine, PLLC CurrentSince Apr 25, 2025 Accepting new patients
Lone Star Community Health Center, Inc. PastSince Jan 6, 2016 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

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.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1821472648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790360",
            "telephone_number": "888-339-6065",
            "fax_number": "855-308-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 COMMERCIAL PARK CT",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129387",
            "telephone_number": "336-245-9521",
            "fax_number": "855-308-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGENRIEDER",
        "first_name": "NANCY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5019673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

Verify at the official NPI Registry.