Individual provider Active NPI

Anna Caroline Pate, PA

  • Physician Assistant
  • Whiteville, NC
National Provider Identifier
1891429890
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12924 Issued in NC
Practice address
500 Jefferson St
Whiteville, NC 28472-3634
Phone
(910) 642-1776
NPI assigned
Jul 14, 2022
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-12924 NC Primary

Addresses

Primary practice location

500 Jefferson St
Whiteville, NC 28472-3634

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other names 1

  • Anna Pate Jenkins Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address crhs@crhn.cernerdirect.com Columbus Regional Healthcare System, Inc.
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

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
I20230418001071 NC Practitioner - Physician Assistant 0648645044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Regional Health NetworkGroup PAC ID 6608924931, 48 clinicians

Practice addresses (Care Compare)

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 641-8600

612 Jefferson St
Suite 28
Whiteville, NC 28472-3708
Phone (910) 640-4064

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Network CurrentSince Apr 10, 2023 Accepting new patients
Columbus Regional Health Network CurrentSince Apr 10, 2023 Accepting new patients
Columbus Regional Health Network Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064

Interoperability endpoints

  • Direct secure messaging: crhs@crhn.cernerdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1891429890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723634",
            "telephone_number": "910-642-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "ANNA",
        "middle_name": "CAROLINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crhs@crhn.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "Columbus Regional Healthcare System, Inc.",
            "address_1": "500 Jefferson St",
            "city": "Whiteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284723634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "JENKINS",
            "middle_name": "PATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.