NPIMap

Individual provider Active NPI

William Fossett, FNP-C

  • Family Nurse Practitioner
  • Atkinson, NC
National Provider Identifier
1851860183
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011205 Issued in NC
Practice address
109 W Church St
Atkinson, NC 28421-9230
Phone
(910) 283-7783
NPI assigned
Nov 15, 2018
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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 5011205 NC Primary

Addresses

Primary practice location

109 W Church St
Atkinson, NC 28421-9230

Mailing address

109 W Church St
Atkinson, NC 28421-9230
Phone (910) 283-7783

Other practice location 1

301 S Campbell St
Burgaw, NC 28425-5011
Phone (910) 259-5721

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
I20190114003318 NC Practitioner - Nurse Practitioner 5193061083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

109 W Church St
Atkinson, NC 28421-9230
Phone (910) 283-7783

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Star Medical Clinic PLLC CurrentSince Dec 7, 2018 Accepting new patients
Black River Health Services Inc CurrentSince Dec 18, 2019 Accepting new patients
Black River Health Services Inc Family Current Accepting new patients
Black River Health Services Inc CurrentSince Dec 18, 2019 Accepting new patients
Black River Health Services Inc Past Accepting new patients
Black River Health Services Inc Past Accepting new patients

Locations

109 W Church St
Atkinson, NC 28421
Phone (910) 283-7783

301 S Campbell St
Burgaw, NC 28425
Phone (910) 259-5721

1703 Country Club Rd
Ste 103
Jacksonville, NC 28546
Phone (910) 330-2335

461 Western Blvd
Ste 122
Jacksonville, NC 28546
Phone (910) 333-0283

4811 NC Hwy 50
Maple Hill, NC 28454
Phone (910) 259-6444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1851860183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W CHURCH ST",
            "city": "ATKINSON",
            "state": "NC",
            "postal_code": "284219230",
            "telephone_number": "910-283-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W CHURCH ST",
            "city": "ATKINSON",
            "state": "NC",
            "postal_code": "284219230",
            "telephone_number": "910-283-7783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Campbell St",
            "address_purpose": "LOCATION",
            "city": "Burgaw",
            "state": "NC",
            "postal_code": "284255011",
            "country_code": "US",
            "telephone_number": "910-259-5721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSSETT",
        "first_name": "WILLIAM",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-15",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atkinson, NC

Sources for this page

Verify at the official NPI Registry.