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NPI · 1417684135 · NPPES-sourced

Fayetteville Internal Medicine PLLC

ActiveFamily Nurse Practitioner
NPI Number
1417684135
Type 2 · Organisation
Taxonomy Code
363LF0000X
Contact
(910) 483-4856
Primary practice line
Last Updated
Enumerated
Primary practice addressNC · 28304-3861
1766 Metromedical DrFayetteville, NC 28304-3861
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About this NPIWhat this record shows.

NPI 1417684135 is registered to Fayetteville Internal Medicine PLLC, a healthcare organisation classified as "Family Nurse Practitioner" and located at 1766 Metromedical Dr in Fayetteville, North Carolina. The organisation's authorised official is Jennifer Fortin. The organisation has been enumerated in the NPI registry since 2022.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Fayetteville Internal Medicine PLLC accepts. To confirm in-network status with your specific health plan, contact Fayetteville Internal Medicine PLLC directly at (910) 483-4856.

Frequently asked

Yes. NPI 1417684135 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (910) 483-4856.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Fayetteville Internal Medicine PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy363LF0000X
Last updated
Enumerated
StatusActive
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