Nicole Ann McRae

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5010593 Issued in NC

Practice address

6700 Albemarle Rd
Charlotte, NC 28212-3856

Phone

(704) 921-1000

Fax

(704) 921-1022

NPI assigned

Jun 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.mcrae.1@22854.direct.athenahealth.com
• Direct secure messaging: nmcrae@landmarkhealth-direct.org

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.

• MC Family Medical, PLLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1780825539
  NPD
• Monogram Health Professional Services of North Carolina PC

  • Nephrology Physician
  • Winston Salem, NC
  • NPI 1366162885

  Family

  NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1134739089

  Family

  NPD
• FCRX Inc

  • Pharmacy
  • Charlotte, NC
  • NPI 1366802407
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1821580713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 MERIDIAN PKWY STE 323",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134232",
            "telephone_number": "984-227-8902",
            "fax_number": "704-921-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 ALBEMARLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282123856",
            "telephone_number": "704-921-1000",
            "fax_number": "704-921-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821580713",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaquetta McPherson
• Natika Monique McPherson, PHD, LPCS, NCC, ACS
• James W. McQuiston II, LCSW
• Giada Sonny McRae
• Jordon R McRae, M. S.
• Susan McRae
• James McRedmond
• Carrie Anne McShane, M.D.
• Claudine McShane
• Christina McShea, MD

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.

Verify at the official NPI Registry.