NPIMap

Individual provider Active NPI

Sarah E Maltba, FNP

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1821670878
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
MALT-WK26U Issued in NC
Practice address
1540 Purdue Dr Ste 200
Fayetteville, NC 28303-5510
Phone
(910) 630-1112
Fax
(910) 425-1110
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X MALT-WK26U NC Primary

Addresses

Primary practice location

1540 Purdue Dr Ste 200
Fayetteville, NC 28303-5510

Mailing address

PO Box 64575
Fayetteville, NC 28306-0575
Phone (910) 630-1112

Other identifiers 2

IdentifierTypeStateIssuer
1134226301OtherNCNPI
5900744MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210809001813 NC Practitioner - Nurse Practitioner 8729482096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Fear Physical Medicine andGroup PAC ID 2062455231, 3 clinicians

Practice addresses (Care Compare)

1540 Purdue Dr
Suite 200
Fayetteville, NC 28303-5510
Phone (910) 630-1112

Hospital & facility affiliations

  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MALT-WK26UNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Physical Medicine and CurrentSince Nov 10, 2025 Accepting new patients
Vohra Wound Physicians of Ny, PLLC Past Accepting new patients

Locations

1540 Purdue Dr
Ste 200
Fayetteville, NC 28303
Phone (910) 630-1112

1841 Quiet Cv
Fayetteville, NC 28304
Phone (910) 323-2626

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECACDA

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 and National Provider Directory roles.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1821670878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64575",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283060575",
            "telephone_number": "910-630-1112",
            "fax_number": "910-425-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 PURDUE DR STE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035510",
            "telephone_number": "910-630-1112",
            "fax_number": "910-425-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTBA",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "MALT-WK26U",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134226301",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900744",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.