JAN ELISA ROGERS (NPI# 1356741102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356741102 |
| Entity Type | Individual |
| Full Name | JAN ELISA ROGERS |
| Credential | FNP |
| Practice Address |
485 Valley Rd Mocksville NC 27028-2074 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367518000 |
| Practice Fax Number | 3367518010 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 125085 | NC | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 5007136 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5007136 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1356741102 | 05 | |
| NC | BCBS | 1356741102 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054188 | Jan Harvey Rogers | Dentist | 510 S Hanley Rd, Saint Louis, MO 63105-2038 | 2005-06-27 |
| Street Address |
485 VALLEY RD |
| City | MOCKSVILLE |
| State | NC |
| Zip Code | 27028-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508313 | Carol Elaine Gunden | Nurse Practitioner | 485 Valley Rd, Mocksville, NC 27028-2074 | 2005-09-13 |
| 1023575883 | Sara Echols Bridges | Social Worker | 485 Valley Rd, Mocksville, NC 27028-2074 | 2019-02-27 |
| 1265911176 | Brittney Elizabeth Grimes | Nurse Practitioner | 485 Valley Rd, Mocksville, NC 27028-2074 | 2018-08-10 |
| 1275012742 | Jennifer Alicia Myers-cassidy | Nurse Practitioner | 485 Valley Rd, Mocksville, NC 27028-2074 | 2018-08-07 |
| 1619480738 | Hannah Elizabeth Wyatt | Nurse Practitioner | 485 Valley Rd, Mocksville, NC 27028-2074 | 2017-11-11 |
| 1104344621 | Kelsy Edward Combs | Pharmacist | 485 Valley Rd, Mocksville, NC 27028-2074 | 2017-09-05 |
| 1417345315 | Emily Draughn Collette | Nurse Practitioner | 485 Valley Rd, Mocksville, NC 27028 | 2014-12-30 |
| 1194010835 | Gigi Angelica Smith | Internal Medicine | 485 Valley Rd, Mocksville, NC 27028-2074 | 2011-06-10 |
| 1720383797 | Ellen Rosel Duyck | Nurse Practitioner | 485 Valley Rd, Mocksville, NC 27028-2074 | 2011-01-21 |
| 1730312364 | Amelia Olweean Craver | Physician Assistant | 485 Valley Rd, Mocksville, NC 27028-2074 | 2009-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1730649633 | Dawn Michelle Whitsel | Occupational Therapy Assistant | 498 Madison Rd., Mocksville, NC 27028 | 2019-03-25 |
| 1912476391 | Warren Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 189 Gaither St, Mocksville, NC 27028 | 2018-11-15 |
| 1548711385 | Tyler Crane | Nurse Practitioner | 375 Hospital St Ste 200, Mocksville, NC 27028 | 2016-10-17 |
| 1679926042 | Nicholas Martyak | Physical Therapist | 161 Nikkis Way, Mocksville, NC 27028 | 2016-07-20 |
| 1386987790 | Elizabeth Hemmings | Speech-Language Pathologist | 498 Madison Road, Mocksville, NC 27028 | 2013-04-03 |
| 1932421427 | Davie Kidney Center of Wake Forest University | Clinic/Center | 190 Interstate Drive, Mocksville, NC 27028 | 2010-02-24 |
| 1568455707 | Wake Forest University Baptist Medical Center Community Physicians | Pediatrics | 113 Marketplace Drive, Mocksville, NC 27028 | 2005-08-23 |
| 1912485517 | Davie Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 498 Madison Road, Mocksville, NC 27028 | 2018-08-06 |
| 1245747062 | Emma Beneke | Social Worker | 172 S Clement St, Mocksville, NC 27028 | 2018-01-02 |
| Find all providers in zip 27028 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548711385 | Tyler Crane | Nurse Practitioner | 375 Hospital St Ste 200, Mocksville, NC 27028 | 2016-10-17 |
| 1073508313 | Carol Elaine Gunden | Nurse Practitioner | 485 Valley Rd, Mocksville, NC 27028-2074 | 2005-09-13 |
| 1265911176 | Brittney Elizabeth Grimes | Nurse Practitioner | 485 Valley Rd, Mocksville, NC 27028-2074 | 2018-08-10 |
| 1275012742 | Jennifer Alicia Myers-cassidy | Nurse Practitioner | 485 Valley Rd, Mocksville, NC 27028-2074 | 2018-08-07 |
| 1619480738 | Hannah Elizabeth Wyatt | Nurse Practitioner | 485 Valley Rd, Mocksville, NC 27028-2074 | 2017-11-11 |
| 1417345315 | Emily Draughn Collette | Nurse Practitioner | 485 Valley Rd, Mocksville, NC 27028 | 2014-12-30 |
| 1598932683 | Tina Reed Brunelli | Nurse Practitioner | 485 Valley Rd, Mocksville, NC 27028-2074 | 2008-05-08 |
| 1023193935 | Rebecca Ann Mcmahan | Nurse Practitioner | 210 Hospital St, Mocksville, NC 27028-2039 | 2006-10-26 |
| 1851351779 | April D. Shore | Nurse Practitioner | 485 Valley Rd, Dba Medical Associates of Davie, Mocksville, NC 27028-2074 | 2006-03-24 |
| 1932189040 | Katharine Cornatzer | Nurse Practitioner | 485 Valley Rd, Mocksville, NC 27028-2074 | 2006-01-17 |
| Find all providers in MOCKSVILLE | ||||
| City | MOCKSVILLE |
| Zip Code | 27028 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.