Jeremy Waddell, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5007249 Issued in NC

Practice address

8914A Reed Dr
Emerald Isle, NC 28594-2462

Phone

(252) 764-2024

Fax

(252) 764-2376

NPI assigned

Oct 8, 2014

Last updated

Mar 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Nurse Practitioner

Education

Duke University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.8 of 100Reported as individual

Quality

87.56

Promoting interoperability

100

Improvement activities

40

Cost

78.43

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24839/brand/1/csg/1/fhir/r4
• Direct secure messaging: jeremy.waddell.1@24839.direct.athenahealth.com

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.

• Carteret Heart, PLLC

  • Cardiovascular Disease Physician
  • Emerald Isle, NC
  • NPI 1912679325
  Medicare reassignment NPD Authorized official
• Carteret Heart and Vascular

  • Cardiovascular Disease Physician
  • Emerald Isle, NC
  • NPI 1538631577
  Authorized official Same address or phone

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1881097624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8914A REED DR",
            "city": "EMERALD ISLE",
            "state": "NC",
            "postal_code": "285942462",
            "telephone_number": "252-764-2024",
            "fax_number": "252-764-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8914A REED DR",
            "city": "EMERALD ISLE",
            "state": "NC",
            "postal_code": "285942462",
            "telephone_number": "252-764-2024",
            "fax_number": "252-764-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "JEREMY",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-08",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5007249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Elizabeth Seamon, M.S., LMFTA
• Tammy Statham, PT
• The Doctors Office PA
• Joseph Thompson, R.N.
• Town of Emerald Isle (Emerald Isle Fire Department)
• Jesse Bright Walker, L.AC., LMBT
• Kenton Walker
• Jill Davis Warren, MA, CCC-SLP

• Adult Health Nurse Practitioner in Emerald Isle, NC
• Providers in Emerald Isle, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.