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MRS. JESSY TANGHAM FNP
NPI 1073471884
Nurse Practitioner in Burlington, NC

Active since January 12, 2026PECOS Enrolled
424 RUDD ST STE 102, BURLINGTON, NC 27217(336) 570-9800 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jessy Tangham Fnp NPPES

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

MRS. JESSY TANGHAM FNP (NPI 1073471884) is an individual nurse practitioner in Burlington, North Carolina, licensed in North Carolina (5023294) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1073471884
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JESSY TANGHAMCredential: FNP
Location Address424 RUDD ST STE 102Burlington, NC 27217-2958
Mailing Address3901 Filton DrGreensboro, NC 27406-9804 · (336) 517-6551 · Fax (336) 517-6551
Phone(336) 570-9800
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1073471884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5023294
Definition
(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.
424 RUDD ST STE 102, Burlington, NC 27217
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessy Tangham Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941777544
PECOS Enrollment IDI20260430002191
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27217 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jessy Tangham's NPI number?

The NPI number for Jessy Tangham is 1073471884. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Where is Jessy Tangham located?

Jessy Tangham practices at 424 Rudd St Ste 102, Burlington, NC 27217. The listed phone number is (336) 570-9800.

What is Jessy Tangham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jessy Tangham enrolled in Medicare?

Yes. Jessy Tangham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessy Tangham was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.