Individual provider Active NPI

Regina Elizabeth Groesser, PNP

  • Pediatric Nurse Practitioner
  • Zebulon, NC
National Provider Identifier
1871995563
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5007129 Issued in NC
Practice address
116 E Horton St
Zebulon, NC 27597-2820
Phone
(919) 269-2885
Fax
(919) 488-1718
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5007129 NC Primary

Addresses

Primary practice location

116 E Horton St
Zebulon, NC 27597-2820

Mailing address

500 Holly Springs Rd Ste 101
Holly Springs, NC 27540-6204
Phone (919) 762-5113

Other practice location 1

500 Holly Springs Rd Ste 101
Holly Springs, NC 27540-6204
Phone (919) 762-5113

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
I20151211002423 NC Practitioner - Nurse Practitioner 5496056699 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Community Health, Inc CurrentSince Jan 12, 2026 Accepting new patients
Nitelite Pediatric Urgent Care, PA PastSince Jan 21, 2024 Accepting new patients
Growing Child Pediatrics Past Accepting new patients
Advance Community Health, Inc Past Accepting new patients

Locations

212 S Salem St
Apex, NC 27502
Phone (919) 362-5201

500 Holly Springs Rd
Ste 101
Holly Springs, NC 27540
Phone (919) 346-5911

1011 Rock Quarry Rd
Raleigh, NC 27610

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

1011 Rock Quarry Rd
Fl 2
Raleigh, NC 27610

Interoperability endpoints

  • Direct secure messaging: rbalgowan427866@direct.medicine.duke.edu
  • Direct secure messaging: rbalgowan18147@direct.unc.nchie.net

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": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1871995563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HOLLY SPRINGS RD STE 101",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406204",
            "telephone_number": "919-762-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E HORTON ST",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275972820",
            "telephone_number": "919-269-2885",
            "fax_number": "919-488-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Holly Springs Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275406204",
            "country_code": "US",
            "telephone_number": "919-762-5113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROESSER",
        "first_name": "REGINA",
        "middle_name": "ELIZABETH",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5007129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zebulon, NC

Sources for this page

Verify at the official NPI Registry.