Individual provider Active NPI

Margaret Pietruczuk, APRN

  • Primary Care Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1972995629
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209012551 Issued in IL
Practice address
432 Eastwood Rd Ste 200
Wilmington, NC 28403-1873
Phone
(910) 319-7744
Fax
(910) 319-7754
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209012551 IL Primary

Addresses

Primary practice location

432 Eastwood Rd Ste 200
Wilmington, NC 28403-1873

Mailing address

432 Eastwood Rd Ste 200
Wilmington, NC 28403-1873
Phone (910) 319-7744

Other practice location 1

1945 W Wilson Ave Ste 6116
Chicago, IL 60640
Phone (872) 208-6257

Other identifiers 1

IdentifierTypeStateIssuer
1972995629MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address margaretp@direct.clinicforspecialchildren.nchie.net Health Information Exchange (HIE) Karen H. Harum, MD, FAAP, PLLC

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
I20240119000045 NC Practitioner - Nurse Practitioner 6608123914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karen H Harum MD Faap PLLCGroup PAC ID 0345618872, 2 clinicians

Practice addresses (Care Compare)

5725 Oleander Dr
Suite C1C
Wilmington, NC 28403-4724
Phone (910) 319-7744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209012551ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karen H. Harum, MD, Faap, PLLC CurrentSince Dec 6, 2023 Accepting new patients

Locations

432 Eastwood Rd
Ste 200
Wilmington, NC 28403
Phone (910) 319-7744

5725 Oleander Dr
Ste C1C
Wilmington, NC 28403
Phone (910) 319-7744

Interoperability endpoints

  • Direct secure messaging: margaret.pietruczuk@direct.clinicforspecialchildren.nchie.net

Organizations & group practices 1

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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1972995629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 EASTWOOD RD STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031873",
            "telephone_number": "910-319-7744",
            "fax_number": "910-319-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 EASTWOOD RD STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031873",
            "telephone_number": "910-319-7744",
            "fax_number": "910-319-7754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 W Wilson Ave Ste 6116",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60640",
            "country_code": "US",
            "telephone_number": "872-208-6257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIETRUCZUK",
        "first_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209012551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972995629",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "margaretp@direct.clinicforspecialchildren.nchie.net",
            "affiliation": "Y",
            "endpointDescription": "DMS from NC health connex",
            "affiliationName": "Karen H. Harum, MD, FAAP, PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "432 Eastwood Rd Ste 200",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284031873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.