Active NPI
Penney Elaine Parker, FNP-C
- Family Nurse Practitioner
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201477
- Practice address
- 653 Bluefield Rd Ste a
Mooresville, NC 28117-9626 - Phone
- (704) 360-6500
- Fax
- (980) 444-2631
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201477 | NC | Primary |
Addresses
Primary practice location
653 Bluefield Rd Ste a
Mooresville, NC 28117-9626
Mailing address
PO Box 896199
Charlotte, NC 28289-6199
Phone (833) 936-1364
Other practice location 1
1668 Nc Highway 16 S
Taylorsville, NC 28681-6285
Phone (828) 632-9736
Other practice location 2
544 Brawley School Rd Ste A
Mooresville, NC 28117-9393
Phone (704) 360-5190
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
136 E 36TH St
Suite 200
Charlotte, NC 28206-2018
Phone (704) 801-3400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201477 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Emergency Providers | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Nurse Practitioner | Current | Accepting new patients |
| Atrium Health North Market Network LLC | Current | Accepting new patients | |
| Onslow Memorial Hospital Inc | Past | Accepting new patients | |
| Promise Hospital of Baton Rouge, Inc | Past | Accepting new patients | |
| Professional Rehabilitation Hospital LLC | Past | Accepting new patients |
Locations
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310
136 E 36th St
Ste 200
Charlotte, NC 28206
Phone (704) 801-3400
16645 Birkdale Commons Pkwy
Ste 100
Huntersville, NC 28078
Phone (704) 801-7390
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- pparker2974541@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 6
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.
-
dba Atrium Health Primary Care One Health Family Medicine
- Family Medicine Physician
- Mooresville, NC
- NPI 1871112920
-
- Multi-Specialty Clinic/Center
- Statesville, NC
- NPI 1396216735
-
dba Onslow Memorial Hospital
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
-
dba RiverBridge Specialty Hospital
- Long Term Care Hospital
- Vidalia, LA
- NPI 1518929926
-
dba Promise Hospital of Gonzales
- Long Term Care Hospital
- Gonzales, LA
- NPI 1194969386
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Behavioral Health
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
dba Atrium Health Mercy
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
dba Levine Children's Hospital Pediatrics
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
dba Atrium Health Laboratory
- Clinical Medical Laboratory
- Charlotte, NC
- NPI 1811005150
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1831168855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 896199",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282896199",
"telephone_number": "833-936-1364",
"fax_number": "605-942-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 BLUEFIELD RD STE A",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179626",
"telephone_number": "704-360-6500",
"fax_number": "980-444-2631"
}
],
"practiceLocations": [
{
"address_1": "1668 Nc Highway 16 S",
"address_purpose": "LOCATION",
"city": "Taylorsville",
"state": "NC",
"postal_code": "286816285",
"country_code": "US",
"telephone_number": "828-632-9736",
"fax_number": "828-632-9544",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "544 Brawley School Rd Ste A",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281179393",
"country_code": "US",
"telephone_number": "704-360-5190",
"fax_number": "704-360-5180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "PENNEY",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "201477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
- Mordan Alexandra Pappas
- Paragon Hospice Management, LP (New Century Hospice of Houston)
- Jane Park, CCC-SLP
- Janice Parker, LCSW
- Leslie Samuelita Parker, MS CCC/SLP
- Mary Alice Parlier Lowrance, OTR/L
- Meredith Elizabeth Parnell, MS OTR/L
- Mary Virginia Parsons, PHARMD
- Partnership for a Drug Free NC Inc
- Partnership for a Drug Free NC Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.