Active NPI
Jennifer Lynn Stockwell, FNP-BC
- Family Nurse Practitioner
- Henderson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- STOC-M3Y3M
- Practice address
- 511 Ruin Creek Rd Ste 101
Henderson, NC 27536-5919 - Phone
- (252) 436-0440
- NPI assigned
- May 5, 2023
- Last updated
- May 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | STOC-M3Y3M | NC | Primary |
Addresses
Primary practice location
511 Ruin Creek Rd Ste 101
Henderson, NC 27536-5919
Mailing address
2010 Sunset Rd
Oxford, NC 27565-8498
Phone (336) 583-8173
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3762 Durham Rd
Suite B
Roxboro, NC 27573-2741
Phone (336) 322-1024
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| STOC-M3Y3M | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| DLP Person Physician Practices, LLC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices LLC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| DLP Person Physician Practices LLC | Current | Accepting new patients |
Locations
120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773
511 Ruin Creek Rd
Ste 101
Henderson, NC 27536
Phone (252) 436-0440
3762 Durham Rd
#B
Roxboro, NC 27573
Phone (336) 322-1024
3762 Durham Rd
Ste A
Roxboro, NC 27573
Phone (336) 330-0400
601 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Organizations & group practices 5
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.
-
dba Person Health Primary Care
- Family Medicine Physician
- Roxboro, NC
- NPI 1548544802
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
- Rural Health Clinic/Center
- Henderson, NC
- NPI 1578256749
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1720364649
-
dba Person Memorial Medical Group
- Surgery Physician
- Roxboro, NC
- NPI 1891287520
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Roxboro, NC
- NPI 1982963294
-
dba Person Memorial Hospital
- General Acute Care Hospital
- Roxboro, NC
- NPI 1881977593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1881383636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 SUNSET RD",
"city": "OXFORD",
"state": "NC",
"postal_code": "275658498",
"telephone_number": "336-583-8173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 RUIN CREEK RD STE 101",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275365919",
"telephone_number": "252-436-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKWELL",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-05",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "STOC-M3Y3M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.