Individual provider Active NPI

Ambre Lashea McNeil, FNP-C

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1902575384
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015068 Issued in NC
Practice address
1919 Boulevard St Ste D
Greensboro, NC 27407-4595
Phone
(336) 285-5712
Fax
(336) 916-1901
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 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 5015068 NC Primary

Addresses

Primary practice location

1919 Boulevard St Ste D
Greensboro, NC 27407-4595

Mailing address

1919 Boulevard St Ste D
Greensboro, NC 27407-4595
Phone (336) 285-5712

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
I20220212000098 NC Practitioner - Nurse Practitioner 2769875806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Eldercare PAGroup PAC ID 0648184705, 236 clinicians

Practice addresses (Care Compare)

5306 NC Hwy 55
Suite 105
Durham, NC 27713-7812
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Touchpointe Med Group PLLC Family CurrentSince Oct 1, 2023 Accepting new patients
Richter Family Medicine and Wellness Family Medicine PastSince Sep 1, 2021 Accepting new patients

Locations

1919 Boulevard St
Ste D
Greensboro, NC 27407
Phone (336) 285-5712

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1902575384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 BOULEVARD ST STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074595",
            "telephone_number": "336-285-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 BOULEVARD ST STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074595",
            "telephone_number": "336-285-5712",
            "fax_number": "336-916-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "AMBRE",
        "middle_name": "LASHEA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.