Individual provider Active NPI

Renee Susanne McGuire, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, NC
National Provider Identifier
1861141764
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5016579 Issued in NC
Practice address
284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone
(704) 939-1100
Fax
(704) 939-1173
NPI assigned
Mar 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5016579 NC Primary

Addresses

Primary practice location

284 Executive Park Dr Ste 100
Concord, NC 28025-1833

Mailing address

6963 Nolden Creek Rd
Connelly Springs, NC 28612-7963
Phone (828) 205-4493

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
I20221006003553 NC Practitioner - Nurse Practitioner 8123404639 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daymark Recovery Services IncGroup PAC ID 0547233975, 132 clinicians

Practice addresses (Care Compare)

132 Poplar Grove Connector
Suite B
Boone, NC 28607-6121
Phone (828) 264-8759

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as group
Quality
89.03
Promoting interoperability
82
Improvement activities
40
Cost
90.28

Merit-based Incentive Payment System (MIPS)

Final score
98.23 of 100Reported as group
Quality
88.23
Improvement activities
40
Cost
76.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc CurrentSince Aug 29, 2022 Accepting new patients
Daymark Recovery Services, Inc. CurrentSince Mar 4, 2024 Accepting new patients
Step Up Care of North Carolina PC CurrentSince Sep 15, 2023 Accepting new patients
Gaston Family Health Services, Inc. CurrentSince Aug 29, 2022 Accepting new patients

Locations

132 Poplar Grove Connector
Ste B
Boone, NC 28607
Phone (828) 264-8759

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

133 1st Ave SE
Hickory, NC 28602
Phone (828) 944-4544

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Interoperability endpoints

  • Direct secure messaging: renee.mcguire.p1@direct.daymarkrecovery.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1861141764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6963 NOLDEN CREEK RD",
            "city": "CONNELLY SPRINGS",
            "state": "NC",
            "postal_code": "286127963",
            "telephone_number": "828-205-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251833",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "RENEE",
        "middle_name": "SUSANNE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5016579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.