Active NPI
Jessica Storm Demotts, NP
- Family Nurse Practitioner
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F0914165
- Practice address
- 160 NE Maynard Rd
Suite 200
Cary, NC 27513-9670 - Phone
- (919) 466-7541
- NPI assigned
- Oct 5, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0914165 | NC | Primary |
Addresses
Primary practice location
160 NE Maynard Rd
Suite 200
Cary, NC 27513-9670
Mailing address
160 NE Maynard Rd
Suite 200
Cary, NC 27513-9670
Phone (919) 466-7541
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
- Brody School of Medicine at East Carolina University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Physical Therapy Associates LLC
Practice addresses (Care Compare)
11221 Galleria Ave
Suite 101
Raleigh, NC 27614-8137
Phone (919) 562-9410
1501 N Bickett Blvd
Suite F
Louisburg, NC 27549-2178
Phone (919) 497-8414
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.06 of 100
- Quality
- 61.01
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0914165 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cary Behavioral Health, PC | Current | Accepting new patients | |
| Orthopaedic Specialists of North Carolina, P.a. | Current | Accepting new patients | |
| Orthopaedic Specialists of North Carolina, P.a. | Current | Accepting new patients |
Locations
160 NE Maynard Rd
Ste 200
Cary, NC 27513
Phone (919) 466-7540
6602 Knightdale Blvd
Ste 310
Knightdale, NC 27545
5838 Six Forks Rd
Ste 100
Raleigh, NC 27609
11200 Governor Manly Way
Ste 309
Raleigh, NC 27614
Phone 9195629410247
701 Exposition Pl
Ste 201
Raleigh, NC 27615
Phone (919) 466-7540
11221 Galleria Ave
#101
Raleigh, NC 27614
Phone 9195629410213
1936 Golden Spur Ln
Wendell, NC 27591
Interoperability endpoints
- jessica.demotts.1@12529.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1649327750
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Cary, NC
- NPI 1255484929
-
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1447553870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1982007928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 NE MAYNARD RD",
"address_2": "SUITE 200",
"city": "CARY",
"state": "NC",
"postal_code": "275139670",
"telephone_number": "919-466-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 NE MAYNARD RD",
"address_2": "SUITE 200",
"city": "CARY",
"state": "NC",
"postal_code": "275139670",
"telephone_number": "919-466-7541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMOTTS",
"first_name": "JESSICA",
"middle_name": "STORM",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-05",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "F0914165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.