PROF. NINA ELLERBE STANBACK
NPI 1053981845
Counselor - Mental Health in Rockingham, NC
About Prof. Nina Ellerbe Stanback NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROF. NINA ELLERBE STANBACK (NPI 1053981845) is an individual mental health provider in Rockingham, North Carolina, licensed in North Carolina (A16446) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Prof. Nina Ellerbe Stanback is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nina Stanback reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pinehurst, NC 28374
- Reassigned Medicare billing, North Carolina enrollment
- 53 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nina Stanback's NPI number?
The NPI number for Nina Stanback is 1053981845. It was assigned to this individual provider in the NPPES registry on June 25, 2021.
Where is Nina Stanback located?
Nina Stanback practices at 144 Jenkins Covington Rd, Rockingham, NC 28379. The listed phone number is (910) 206-5865.
What is Nina Stanback's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Nina Stanback enrolled in Medicare?
Yes. Nina Stanback is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nina Stanback's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nina Stanback reassigns Medicare benefits to Mcpc-11, LLC (Pinehurst, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nina Stanback's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nina Stanback accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Nina Stanback as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nina Stanback was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Prof. Nina Ellerbe Stanback · NPI 1053981845
Mental Health provider in Rockingham, North Carolina. Individual provider, active in the CMS NPPES registry since June 25, 2021.
## Identity
- **NPI:** 1053981845 (Entity type: Individual)
- **Enumerated:** June 25, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** A16446 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 144 JENKINS COVINGTON RD, Rockingham, NC 28379-7388
- **Phone:** (910) 206-5865
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mcpc-11, LLC (NPI 1841635455, Pinehurst, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1053981845) · Data from the CMS NPPES public registry.