Individual provider Active NPI

Penney Elaine Parker, FNP-C

  • Family Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1831168855
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201477 Issued in NC
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

Updated by the provider on Aug 23, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310001390 NC Practitioner - Nurse Practitioner 3173412095 Reassigns benefits to 3 organizations

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
Atrium Health North Market Network LLCGroup PAC ID 1557743440, 158 clinicians

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

LicenseStateTypeSpecialty
201477NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Emergency Providers CurrentSince Jun 1, 2022 Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner CurrentSince Nov 1, 2015 Accepting new patients
Atrium Health North Market Network LLC CurrentSince Feb 6, 2025 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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

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

Sources for this page

Verify at the official NPI Registry.