Kinsey Nance, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5014102 Issued in NC

Practice address

151 Medical Park Dr
Jefferson, NC 28640-9560

Phone

(336) 246-7161

NPI assigned

Feb 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kinseynance@brpami.allscriptsdirect.net

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.

• Blue Ridge Pediatric & Adolescent Medicine, Inc

  • Pediatrics Physician
  • Boone, NC
  • NPI 1114038163
  NPD (past)
• Cornerstone Health Care LLC

  • Clinical Medical Laboratory
  • Conover, NC
  • NPI 1871159145
  NPD (past)

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1871185439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MEDICAL PARK DR",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MEDICAL PARK DR",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409560",
            "telephone_number": "336-246-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "KINSEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "NANC-PH3R8",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Living Adult Care Home
• Mountainlife Home Care, Inc. (MountainLife In-Home Aide Service)
• MSP Boone Clinic, PLLC
• Mt Jefferson Child Development Center
• Uwe Mueller, RN
• Jessica R. Nelsen, DPT
• Angel Nelson, MS EDS LCMHCS BC-TMH
• New River Mental Health Center (New River Behavioral HealthCare)
• New River Service Authority (New River Behavioral HealthCare)
• New River Service Authority (New River Behavioral HealthCare)

• Nurse Practitioner in Jefferson, NC
• Providers in Jefferson, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.