Amanda Leigh Mabe, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

5014325 Issued in NC

Practice address

710 Sunset Blvd N Ste C
Sunset Beach, NC 28468-4340

Phone

(336) 613-4862

NPI assigned

Apr 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Coastal Primary Care and Wellness PLLCGroup PAC ID 0648666149, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
• Liberty Home Care Home health agency, Supply, NC, CCN 347247
• Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
• McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Coastal Primary Care and Wellness, PLLC

  • Nurse Practitioner
  • Ocean Isle Beach, NC
  • NPI 1982350237

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  Multi-Specialty, NC

  Medicare reassignment NPD

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

• Brunswick Community Hospital, LLC

  • General Acute Care Hospital
  • Bolivia, NC
  • NPI 1710915756
  Care Compare affiliation
• Liberty Healthcare Group, LLC

  • Home Health Agency
  • Supply, NC
  • NPI 1518912898
  Care Compare affiliation
• Novant Health New Hanover Regional Medical Center LLC

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation
• Well Care Home Health, Inc

  • Home Health Agency
  • Wilmington, NC
  • NPI 1760470660
  Care Compare affiliation
• McLeod Loris Seacoast Hospital

  • General Acute Care Hospital
  • Loris, SC
  • NPI 1306123344
  Care Compare affiliation

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1902485477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SUNSET BLVD N STE C",
            "city": "SUNSET BEACH",
            "state": "NC",
            "postal_code": "284684340",
            "telephone_number": "910-795-1700",
            "fax_number": "910-661-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SUNSET BLVD N STE C",
            "city": "SUNSET BEACH",
            "state": "NC",
            "postal_code": "284684340",
            "telephone_number": "336-613-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABE",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-03",
        "last_updated": "2022-06-30",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "231639",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5014325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@cpcandw.com",
            "affiliation": "N",
            "address_1": "710 Sunset Blvd N Ste C",
            "city": "Sunset Beach",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284684340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Integrative Practice Solutions
• George S. Jones III, DMD
• Lisa Davis Joyner, FNP
• Henry Lepore, MD
• Terresa Ann Long, NP
• McLeod Physician Associates II
• McLeod Physician Associates II
• McLeod Physician Associates II
• McLeod Physician Associates II
• McLeod Physician Associates II

• Primary Care Nurse Practitioner in Sunset Beach, NC
• Providers in Sunset Beach, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.