WAKEMED PROFESSIONAL PHYSICIANS STAFF
NPI 1194907717
Internal Medicine in Raleigh, NC

Active since December 05, 2007CLIA Certified · 12 labs
3000 NEW BERN AVE, RALEIGH, NC 27610(919) 350-8000(919) 350-0559 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wakemed Professional Physicians Staff NPPES

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

WAKEMED PROFESSIONAL PHYSICIANS STAFF (NPI 1194907717) is a healthcare organization registered as an internal medicine in Raleigh, North Carolina and active in the NPI registry since December 2007. The organization holds 12 active CLIA laboratory certificates and lists Rebecca E. Andrews, Vp, Finance, as its authorized official.

NPPES Registry Identity

NPI1194907717
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWAKEMED
Location Address3000 NEW BERN AVERaleigh, NC 27610-1231
Mailing Address3000 New Bern Ave, Managed Care Contracting Dept.Raleigh, NC 27610-1231 · (919) 350-0558 · Fax (919) 350-0559
Fax(919) 350-0559
Organization SubpartNo
Authorized OfficialRebecca E. AndrewsVp, Finance · (919) 350-8344
Enumeration DateDecember 5, 2007
Last NPPES UpdateJanuary 23, 2017
✔ NPI 1194907717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3000 NEW BERN AVE, Raleigh, NC 27610

Other Names 1

Doing Business AsWakemed Professional Physicians Staff

Other Identifiers 3

Medicaid1194907717NC
Medicare PIN235119ENC
Medicaid890770GNC

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)

Wakemed Professional Physicians Staff is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

182

Medicare enrollment records show 182 clinicians reassign Medicare billing to Wakemed Professional Physicians Staff, which bills Medicare for the services they deliver. Of these, 28 practice at this address and 53 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Neurology67
Clinical Social Worker47
Mental Health Counselor18
Cardiovascular Disease (Cardiology)16
Clinical Psychologist13
Infectious Disease9
Pediatric Medicine5
Marriage and Family Therapist2
5 other specialties5

Nearest to this location (20)

See all 182
Clinical Psychologist
NPI 1447635396
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1316322076
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-7879
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1851474969
3000 NEW BERN AVE WAKEMED REHAB
Raleigh, NC 27610
(919) 350-8285
✔ PECOS✔ Accepts MedicareSame address
Psychologist Billing Independently
NPI 1063948727
3000 NEW BERN AVE
Raleigh, NC 27610
(704) 674-3751
✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1053112243
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOSSame address
Clinical Social Worker
NPI 1912723537
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-7722
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1336010313
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-7722
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1053174508
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-7722
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1275052565
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-0554
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1790447142
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1821441460
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1912674037
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1538806567
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-7722
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1659481075
3000 NEW BERN AVE DEPT OF NEUROPSYCHOLOGY
Raleigh, NC 27610
(919) 350-7879
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1063148336
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOSSame address
Clinical Psychologist
NPI 1093871188
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1447932314
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1063848802
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1023729050
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOSSame address
Mental Health Counselor
NPI 1649296369
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOSSame address
See all 182 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 12

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2269467

Wakemed Mycare 365 Primary And Urgent Care-Spring Forest · Raleigh, NC
Active · expires Sep 26, 2028
CLIA Number34D2269467
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2026
Certificate Expiration DateSeptember 26, 2028
Laboratory DirectorWagdy Abdelmonem Elmahdy
Laboratory Phone(919) 350-7180
Laboratory LocationWakemed Mycare 365 Primary And Urgent Care-Spring Forest815 Spirngfield Commons Dr, Raleigh, NC 27609
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2113588

Wakemed Children's Pediatric Endocrinology · Raleigh, NC
Active · expires May 24, 2028
CLIA Number34D2113588
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorWilliam Lagarde
Laboratory Phone(919) 350-8481
Laboratory LocationWakemed Children's Pediatric Endocrinology1911 Falls Valley Drive, Raleigh, NC 27615
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D2147208

Wakemed Ob/Gyn - Oberlin · Raleigh, NC
Active · expires Apr 15, 2028
CLIA Number34D2147208
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorBenjamin White
Laboratory Phone(919) 350-7180
Laboratory LocationWakemed Ob/Gyn - Oberlin505 Oberlin Rd, Raleigh, NC 27605
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 34D0972178

Wakemed Heart & Vascular - Cardiology · Raleigh, NC
Active · expires Mar 30, 2028
CLIA Number34D0972178
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2026
Certificate Expiration DateMarch 30, 2028
Laboratory DirectorJeffrey Blackburn
Laboratory Phone(919) 781-7772
Laboratory LocationWakemed Heart & Vascular - Cardiology3324 Six Forks Rd, Raleigh, NC 27609
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2242367

Wakemed Mycare 365 Primary And Urgent Care - Fayetteville Rd · Raleigh, NC
Active · expires Nov 7, 2027
CLIA Number34D2242367
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorNina G. Quicksell
Laboratory Phone(919) 350-7180
Laboratory LocationWakemed Mycare 365 Primary And Urgent Care - Fayetteville Rd4530 Fayetteville Rd, Raleigh, NC 27603
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2285987

Wakemed Mycare 365 Primary & Urgent Care Ten-Ten · Raleigh, NC
Active · expires Jul 20, 2027
CLIA Number34D2285987
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorNina G. Quicksell
Laboratory Phone(919) 350-7180
Laboratory LocationWakemed Mycare 365 Primary & Urgent Care Ten-Ten7750 Ten-Ten Rd, Raleigh, NC 27603
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Wakemed's NPI number?

The NPI number for Wakemed is 1194907717. It was assigned to this organization in the NPPES registry on December 5, 2007. The provider is doing business as Wakemed Professional Physicians Staff.

Where is Wakemed located?

Wakemed is located at 3000 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-8000.

What is Wakemed's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wakemed enrolled in Medicare?

Yes. Wakemed is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wakemed?

According to the CMS Revalidation Reassignment List (October 2026 release), 182 clinicians in 13 Medicare specialties reassign their Medicare billing to Wakemed. 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. The largest specialties are Neurology (67), Clinical Social Worker (47) and Mental Health Counselor (18). Of these, 28 practice at this address and 53 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wakemed hold CLIA laboratory certificates?

Yes. 12 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Wakemed accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Wakemed 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 Wakemed was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.