Active NPI
Lee Anne Hartsell Broadway, FNP-BC
- Nurse Practitioner
- Rockwell, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5008785
- Practice address
- 316 W Main St
Rockwell, NC 28138-8471 - Phone
- (704) 279-1046
- NPI assigned
- Aug 2, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 127185 | NC | |
| Nurse Practitioner | 363L00000X | 5008785 | NC | Primary |
Addresses
Primary practice location
316 W Main St
Rockwell, NC 28138-8471
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-7840
Other names 1
- Lee Anne Frye
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lbroadway46163@direct.novanthealth.org |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161110001593 | NC | Practitioner - Nurse Practitioner | 9537448733 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
316 W Main St
Rockwell, NC 28138-8471
Phone (704) 279-1046
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572
Hospital & facility affiliations
- Novant Health Rowan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5008785 | NC | MD | Nurse Practitioner |
| 127185 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
316 W Main St
Rockwell, NC 28138
Phone (704) 279-1046
1904 Jake Alexander Blvd W
Ste 301
Salisbury, NC 28147
Phone (704) 638-1551
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Organizations & group practices 17
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
NC
-
- Foot & Ankle Surgery Podiatrist
- Thomasville, NC
- NPI 1235715582
-
- Foot Surgery Podiatrist
- Clemmons, NC
- NPI 1295110906
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
- Foot Surgery Podiatrist
- Kernersville, NC
- NPI 1386029254
-
- Primary Podiatric Medicine Podiatrist
- Winston Salem, NC
- NPI 1427398023
-
- Neurological Surgery Physician
- Winston Salem, NC
- NPI 1497080006
-
- Family Medicine Physician
- Wake Forest, NC
- NPI 1659571768
-
- Family Medicine Physician
- Salisbury, NC
- NPI 1750534038
-
- Foot Surgery Podiatrist
- Winston Salem, NC
- NPI 1851776728
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1891764320
-
- Family Medicine Physician
- Indian Land, SC
- NPI 1245335421
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salisbury, NC
- NPI 1508843566
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1982157327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-7840",
"fax_number": "704-384-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 W MAIN ST",
"city": "ROCKWELL",
"state": "NC",
"postal_code": "281388471",
"telephone_number": "704-279-1046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROADWAY",
"first_name": "LEE ANNE",
"middle_name": "HARTSELL",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "127185",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5008785",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lbroadway46163@direct.novanthealth.org",
"affiliation": "N",
"address_1": "316 W Main St",
"city": "Rockwell",
"state": "NC",
"country_code": "US",
"postal_code": "281388471",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LEE ANNE",
"last_name": "FRYE",
"credential": "FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rockwell, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.