Individual provider Active NPI

Stephanie Marie Perg

  • Nurse Practitioner
  • Chapel Hill, NC
National Provider Identifier
1922691427
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
312311 Issued in NC
Practice address
University of North Carolina- Chapel Hill Son
120 N Medical Drive Unc-CH Son: Carrington Hall
Chapel Hill, NC 27599-0001
Phone
(919) 966-4260
NPI assigned
Feb 16, 2021
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 312311 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

University of North Carolina- Chapel Hill Son
120 N Medical Drive Unc-CH Son: Carrington Hall
Chapel Hill, NC 27599-0001

Mailing address

University of North Carolina- Chapel Hill Son
120 N Medical Drive Unc-CH Son: Carrington Hall
Chapel Hill, NC 27599-0001
Phone (919) 966-4260

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
I20230313001841 NC Practitioner - Nurse Practitioner 3678947702 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Emergency Physicians PAGroup PAC ID 9931002078, 269 clinicians

Practice addresses (Care Compare)

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 934-8171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
75.66
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312311NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Feb 24, 2023 Accepting new patients
Wake Emergency Physicians PA CurrentSince Nov 1, 2023 Accepting new patients
NHCS Physicians Inc CurrentSince Oct 14, 2024 Accepting new patients
Wake Emergency Physicians PA CurrentSince Nov 1, 2023 Accepting new patients
Wake Emergency Physicians PA Current Accepting new patients
Unc-CH School of Nursing Faculty Practice PastSince Feb 21, 2021 Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

550 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 451-3411

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

Interoperability endpoints

  • Direct secure messaging: sperg502700@direct.unc.nchie.net

Organizations & group practices 6

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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1922691427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF NORTH CAROLINA- CHAPEL HILL SON",
            "address_2": "120 N MEDICAL DRIVE UNC-CH SON: CARRINGTON HALL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-966-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF NORTH CAROLINA- CHAPEL HILL SON",
            "address_2": "120 N MEDICAL DRIVE UNC-CH SON: CARRINGTON HALL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-966-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERG",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "312311",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.