Individual provider Active NPI

Jessica Phillips, APRN

  • Family Nurse Practitioner
  • Clayton, NC
National Provider Identifier
1932936937
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5022692 Issued in NC
Practice address
11911 US 70 Bus Hwy W
Clayton, NC 27520-2144
Phone
(866) 389-2727
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13718 CT
Family Nurse Practitioner 363LF0000X 5022692 NC Primary

Addresses

Primary practice location

11911 US 70 Bus Hwy W
Clayton, NC 27520-2144

Mailing address

11911 US 70 Bus Hwy W
Clayton, NC 27520-2144
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250106000414 CT Practitioner - Nurse Practitioner 3678001641 Reassigns benefits to 2 organizations
I20251023002888 NC Practitioner - Nurse Practitioner 3678001641 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Eventus Wholehealth PLLCGroup PAC ID 6002169539, 301 clinicians
Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians
Minuteclinic Primary Care North Carolina PLLCGroup PAC ID 9234657545, 9 clinicians

Practice addresses (Care Compare)

101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781
Phone (855) 743-2247

11911 US 70 Bus Hwy W
Clayton, NC 27520-2144
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13718CTMDFamily Nurse Practitioner
5022692NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care North Carolina PLLC Family CurrentSince Sep 2, 2025 Accepting new patients
Minuteclinic Primary Care Connecticut PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Sep 2, 2025 Accepting new patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Dec 26, 2024 Accepting new patients

Locations

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666

10100 S Main St
Archdale, NC 27263
Phone (336) 431-0715

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1932936937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 US 70 BUS HWY W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202144",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 US 70 BUS HWY W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202144",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "13718",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.