Active NPI
Margaret Pietruczuk, APRN
- Primary Care Nurse Practitioner
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 209012551
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972995629 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209012551 | IL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen H. Harum, MD, Faap, PLLC | Current | 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
- 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.
-
- Pediatric Neurodevelopmental Disabilities Physician
- Wilmington, NC
- NPI 1841410412
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.