WANDA MARIE FAIRCLOTH FNP
NPI 1184789026
Nurse Practitioner - Family in Lumberton, NC

Q: What is Wanda Faircloth's NPI number?

The NPI number for Wanda Faircloth is 1184789026. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Q: What is Wanda Faircloth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Wanda Faircloth was last updated on January 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 22, 2006PECOS EnrolledAccepts Medicare Assignment

725 OAKRIDGE BLVD STE B2, LUMBERTON, NC 28358(910) 671-0052(910) 671-9157 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Oct 30, 2020 (2 updates tracked since 2020).

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About Wanda Marie Faircloth Fnp NPPES

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

WANDA MARIE FAIRCLOTH FNP (NPI 1184789026) is an individual family provider in Lumberton, North Carolina, licensed in North Carolina (0050-02517) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184789026

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameWANDA MARIE FAIRCLOTHCredential: FNP

Location Address725 OAKRIDGE BLVD STE B2Lumberton, NC 28358-2351

Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490

Phone(910) 671-0052

Fax(910) 671-9157

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateDecember 22, 2006

Last NPPES UpdateJanuary 24, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2024

✔ NPI 1184789026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NC · 0050-02517

725 OAKRIDGE BLVD STE B2, Lumberton, NC 28358

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Secondary Practice Locations 2

Location 1725 Oakridge Blvd Ste A3Lumberton, NC 28358-2351 · Phone (910) 738-1141 · Fax (910) 738-6011

Location 24384 Fayetteville RdLumberton, NC 28358-2677 · Phone (910) 738-1141 · Fax (910) 738-6011

Other Identifiers 1

Other0050-02517NC · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wanda Marie Faircloth Fnp 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.

PECOS PAC ID2466543921

PECOS Enrollment IDI20070813000438

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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

220 services93 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

90 services58 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

68 services29 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

46 services44 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

40 services40 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

39 services39 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeastern Regional Medical Center

Acute Care Hospitals · Lumberton, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340050

Location300 W 27 St PO Box 1408Lumberton, NC 28359 · Robeson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28358 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers24 claims50 services$5.53 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers15 claims21 services$0.97 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier16 claims16 services$9.21 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers15 claims2,359 services$0.03 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers15 claims15 services$196.88 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers17 claims17 services$24.54 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENNIS O'GAREY STUART M.D.

Family Medicine