BLUHAVEN HEALTH
NPI 1083456446
Clinic/Center - Multi-Specialty in Raleigh, NC

Active since June 07, 2024
4109 WAKE FOREST RD STE 220, RALEIGH, NC 27609(984) 370-2350(984) 370-2352 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bluhaven Health NPPES

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

BLUHAVEN HEALTH (NPI 1083456446) is a healthcare organization registered as a multi-specialty in Raleigh, North Carolina and active in the NPI registry since June 2024. The organization lists Charlie Frye, Director, as its authorized official.

NPPES Registry Identity

NPI1083456446
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBLUHAVEN HEALTH PA
Location Address4109 WAKE FOREST RD STE 220Raleigh, NC 27609-2510
Mailing Address4109 Wake Forest RdRaleigh, NC 27609-2510 · (984) 370-2350 · Fax (984) 370-2352
Fax(984) 370-2352
Organization SubpartNo
Authorized OfficialCharlie FryeDirector · (984) 370-2350
Enumeration DateJune 7, 2024
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1083456446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
4109 WAKE FOREST RD STE 220, Raleigh, NC 27609

Other Names 1

Doing Business AsBluhaven Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bluhaven Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Bluhaven Health, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Plastic and Reconstructive Surgery
NPI 1134222672
7718 SIX FORKS RD STE 106
Raleigh, NC 27615
(919) 925-5910
✔ PECOS3.8 mi
Otolaryngology
NPI 1831143619
4210 N ROXBORO ST SUITE 140
Durham, NC 27704
(919) 620-7800
✔ PECOS22 mi
Nurse Practitioner
NPI 1295504876
2850 VILLAGE DR
Fayetteville, NC 28304
(910) 483-1793
✔ PECOS✔ Accepts Medicare58 mi
Nurse Practitioner
NPI 1366277667
624 QUAKER LN STE 100E
High Point, NC 27262
(336) 878-6530
✔ PECOS✔ Accepts Medicare79 mi

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 Bluhaven Health PA's NPI number?

The NPI number for Bluhaven Health PA is 1083456446. It was assigned to this organization in the NPPES registry on June 7, 2024. The provider is doing business as Bluhaven Health.

Where is Bluhaven Health PA located?

Bluhaven Health PA is located at 4109 Wake Forest Rd Ste 220, Raleigh, NC 27609. The listed phone number is (984) 370-2350.

What is Bluhaven Health PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Bluhaven Health PA enrolled in Medicare?

Yes. Bluhaven Health PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bluhaven Health PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Bluhaven Health PA, in Nurse Practitioner, Otolaryngology and Plastic and Reconstructive Surgery. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bluhaven Health PA accept?

Health plans from Blue Cross and Blue Shield of NC list Bluhaven Health PA 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 Bluhaven Health PA was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.