Individual provider Active NPI

Maria Antoinette Pattavina, APRN

  • Family Nurse Practitioner
  • Flat Rock, NC
National Provider Identifier
1922024561
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014417 Issued in NC
Practice address
571 S Allen Rd
Flat Rock, NC 28731-9447
Phone
(828) 692-6178
Fax
(828) 692-2365
NPI assigned
Jul 15, 2006
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRNJ11021984 FL
Family Nurse Practitioner 363LF0000X 0408652303 NH
Family Nurse Practitioner 363LF0000X 5014417 NC Primary

Addresses

Primary practice location

571 S Allen Rd
Flat Rock, NC 28731-9447

Mailing address

571 S Allen Rd
Flat Rock, NC 28731-9447
Phone (828) 692-6178

Other identifiers 1

IdentifierTypeStateIssuer
30009295MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpattavina@fourseasonscfl.org

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
I20240112001454 NC Practitioner - Nurse Practitioner 9234174723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospice of Henderson County IncGroup PAC ID 4880507466, 43 clinicians

Practice addresses (Care Compare)

571 S Allen Rd
Flat Rock, NC 28731-9447
Phone (828) 692-6178

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRNJ11021984FLMDFamily Nurse Practitioner
0408652303NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Henderson County, Inc. CurrentSince Jan 22, 2024 Accepting new patients
Hospice of Henderson County Inc CurrentSince Jan 22, 2024 Accepting new patients
Advanced Foot & Ankle Specialists PC Past Accepting new patients

Locations

571 S Allen Rd
Flat Rock, NC 28731
Phone (828) 692-9633

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 3

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1922024561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319447",
            "telephone_number": "828-692-6178",
            "fax_number": "828-692-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319447",
            "telephone_number": "828-692-6178",
            "fax_number": "828-692-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTAVINA",
        "first_name": "MARIA",
        "middle_name": "ANTOINETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRNJ11021984",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "0408652303",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30009295",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpattavina@fourseasonscfl.org",
            "affiliation": "N",
            "address_1": "571 S Allen Rd",
            "city": "Flat Rock",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287319447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flat Rock, NC

Sources for this page

Verify at the official NPI Registry.