Individual provider Active NPI

Lori A Radcliffe, FNP

  • Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1992480495
Registry record updated Jan 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5018268 Issued in NC
Practice address
5838 Six Forks Rd Ste 100
Raleigh, NC 27609-3893
Phone
(919) 785-3400
Fax
(919) 783-7810
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5018268 NC Primary

Addresses

Primary practice location

5838 Six Forks Rd Ste 100
Raleigh, NC 27609-3893

Mailing address

PO Box 63082
Charlotte, NC 28263-3893
Phone (919) 785-3400

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
I20231110001043 NC Practitioner - Nurse Practitioner 4082799481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Neurosurgical Clinic IncGroup PAC ID 1759315500, 52 clinicians

Practice addresses (Care Compare)

5838 Six Forks Rd
Suite 100
Raleigh, NC 27609-3893
Phone (919) 785-3400

Hospital & facility affiliations

  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5018268NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Neuroscience Institute, PC CurrentSince Feb 26, 2008 Accepting new patients
Raleigh Neurosurgical Clinic, Inc. CurrentSince Sep 19, 2023 Accepting new patients
Raleigh Neurosurgical Clinic, Inc. CurrentSince Sep 19, 2023 Accepting new patients

Locations

12610 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 405-1747

2109 Valleygate Dr
Ste 201
Fayetteville, NC 28304
Phone (910) 486-8880

2605 Hospital Rd
Goldsboro, NC 27534
Phone (919) 741-7502

3700 Symi Cir
Morehead City, NC 28557
Phone (252) 222-5888

5838 Six Forks Rd
Ste 100
Raleigh, NC 27609

110 Turner St
Southern Pines, NC 28387
Phone (910) 725-0361

110 Capcom Ave
Ste 200
Wake Forest, NC 27587
Phone (919) 229-4046

4130 Oleander Dr
Ste 100
Wilmington, NC 28403
Phone (910) 200-5242

Interoperability endpoints

  • Direct secure messaging: lradcliffe241874@directhisp.wakemed.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1992480495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63082",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633893",
            "telephone_number": "919-785-3400",
            "fax_number": "919-783-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 SIX FORKS RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093893",
            "telephone_number": "919-785-3400",
            "fax_number": "919-783-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCLIFFE",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-01-07",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5018268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.