Individual provider Active NPI

Raishael L Tessari, FNP

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1902435944
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013042 Issued in NC
Practice address
5725 Carolina Beach Rd
Wilmington, NC 28412-2611
Phone
(800) 226-8874
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5013042 NC Primary

Addresses

Primary practice location

5725 Carolina Beach Rd
Wilmington, NC 28412-2611

Mailing address

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (800) 226-8874

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
I20220701000916 NC Practitioner - Nurse Practitioner 3375923782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
QSM-NC PAGroup PAC ID 1052695798, 17 clinicians

Practice addresses (Care Compare)

104 College Dr
Flat Rock, NC 28731-7756
Phone (828) 693-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5013042NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QSM-NC, PA Family CurrentSince Oct 16, 2023 Accepting new patients
Coastal Carolina Care PLLC Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
QSM-Ky, Inc Family Past Accepting new patients

Locations

3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013

380 Brevard Rd
Asheville, NC 28806
Phone (352) 216-7618

3100 Erwin Rd
Durham, NC 27705
Phone (828) 652-3022

104 College Dr
Flat Rock, NC 28731
Phone (828) 639-8600

15441 US Highway 17
Ste 501
Hampstead, NC 28443
Phone (910) 512-2520

1410 E Gaston St
Lincolnton, NC 28092
Phone (704) 732-1138

5725 Carolina Beach Rd
Wilmington, NC 28412
Phone (910) 782-1455

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1902435944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "800-226-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 CAROLINA BEACH RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122611",
            "telephone_number": "800-226-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSARI",
        "first_name": "RAISHAEL",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.