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COLLEEN E PRINCE RD, PA-C
NPI 1013142405
Physician Assistant - Medical in Durham, NC

Active since May 28, 2009Opted out of Medicare · through Oct 1, 2026
3326 DURHAM CHAPEL HILL BLVD STE 110B, DURHAM, NC 27707(984) 219-1562(984) 219-2366 Get Directions Write a Review

NPPES record last updated: December 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Colleen E Prince Rd, Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN E PRINCE RD, PA-C (NPI 1013142405) is an individual medical provider in Durham, North Carolina, licensed in North Carolina (0010-03826) and active in the NPI registry since May 2009. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013142405
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCOLLEEN E PRINCECredential: RD, PA-C
Location Address3326 DURHAM CHAPEL HILL BLVD STE 110BDurham, NC 27707-6241
Mailing Address3326 Durham Chapel Hill Blvd Ste 110bDurham, NC 27707-6241 · (984) 219-1562 · Fax (984) 219-2366
Phone(984) 219-1562
Fax(984) 219-2366
Sole ProprietorNo
Enumeration DateMay 28, 2009
Last NPPES UpdateDecember 31, 2023
NPPES CertifiedDecember 31, 2023
✔ NPI 1013142405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 0010-03826
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License L003778 (NC), 60078721 (WA)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-03826 (NC)
3326 DURHAM CHAPEL HILL BLVD STE 110B, Durham, NC 27707
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Colleen E Prince Rd, Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleen Prince's NPI number?

The NPI number for Colleen Prince is 1013142405. It was assigned to this individual provider in the NPPES registry on May 28, 2009.

Where is Colleen Prince located?

Colleen Prince practices at 3326 Durham Chapel Hill Blvd Ste 110B, Durham, NC 27707. The listed phone number is (984) 219-1562.

What is Colleen Prince's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Colleen Prince enrolled in Medicare?

No. Colleen Prince has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Colleen Prince was last updated on December 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.