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REX FAMILY PRACTICE OF WAKEFIELD
NPI 1376841874
Family Medicine in Raleigh, NC

Active since March 08, 2011CLIA 34D2011119 · Waiver
11200 GOVERNOR MANLY WAY STE 205, RALEIGH, NC 27614(919) 570-7700(919) 570-7701 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2019, May 20, 2017 (2 updates tracked since 2017).

About Rex Family Practice Of Wakefield NPPES

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

REX FAMILY PRACTICE OF WAKEFIELD (NPI 1376841874) is a healthcare organization registered as a family medicine in Raleigh, North Carolina and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through August 10, 2028 and lists Lynne Christine Fiscus, Cmo, as its authorized official.

NPPES Registry Identity

NPI1376841874
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNC PHYSICIANS NETWORK, LLC
Location Address11200 GOVERNOR MANLY WAY STE 205Raleigh, NC 27614-7367
Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490
Phone(919) 570-7700
Fax(919) 570-7701
Organization SubpartNo
Authorized OfficialLynne Christine FiscusCmo · (984) 215-4111
Enumeration DateMarch 8, 2011
Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
✔ NPI 1376841874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11200 GOVERNOR MANLY WAY STE 205, Raleigh, NC 27614
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Other Names 2

Doing Business AsRex Family Practice Of Wakefield
Doing Business AsUnc Family Medicine And Pediatrics At Wakefield

Other Identifiers 1

Medicaid1376841874NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Rex Family Practice Of Wakefield is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,329

Medicare enrollment records show 1,329 clinicians reassign Medicare billing to Rex Family Practice Of Wakefield, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 53 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 48

Nurse Practitioner326
Family Practice177
Internal Medicine169
Pediatric Medicine91
Obstetrics/Gynecology67
General Surgery49
Urology44
Diagnostic Radiology39
40 other specialties367

Nearest to this location (20)

See all 1,329
Michael Bianconi
Hospitalist
NPI 1477529907
11200 GOVERNOR MANLY WAY STE 205
Raleigh, NC 27614
(919) 570-7700
✔ PECOS✔ Accepts MedicareSame address
Zachary Blom, MD
Family Practice
NPI 1376040238
11200 GOVERNOR MANLY WAY STE 205
Raleigh, NC 27614
(919) 570-7700
✔ PECOS✔ Accepts MedicareSame address
Amelia Brenner, LCSW
Clinical Social Worker
NPI 1528816485
11200 GOVERNOR MANLY WAY STE 205
Raleigh, NC 27614
(919) 570-7700
✔ PECOS✔ Accepts MedicareSame address
Kristine Burns, CRNP
Nurse Practitioner
NPI 1104129113
11200 GOVERNOR MANLY WAY STE 205
Raleigh, NC 27614
(919) 570-7700
✔ PECOS✔ Accepts MedicareSame address
Madhur Gupta, M.D.
Family Practice
NPI 1588818298
11200 GOVERNOR MANLY WAY SUITE 205
Raleigh, NC 27614
(919) 570-7700
✔ PECOS✔ Accepts MedicareSame address
Alison Guptill, M.D.
Family Practice
NPI 1093746570
11200 GOVERNOR MANLY WAY SUITE 205
Raleigh, NC 27614
(919) 570-7700
✔ PECOSSame address
Melissa Hession, M.D.
Internal Medicine
NPI 1316977119
11200 GOVERNOR MANLY WAY STE 205
Raleigh, NC 27614
(919) 570-7700
✔ PECOS✔ Accepts MedicareSame address
Rachael Hollifield, D.O.
Family Practice
NPI 1295096741
11200 GOVERNOR MANLY WAY STE 205
Raleigh, NC 27614
(919) 570-7700
✔ PECOS✔ Accepts MedicareSame address
Shelley Isgett, MSW
Clinical Social Worker
NPI 1346573631
11200 GOVERNOR MANLY WAY STE 205
Raleigh, NC 27614
(919) 570-7700
✔ PECOS✔ Accepts MedicareSame address
Stacey Miller, M.D.
Family Practice
NPI 1033476213
11200 GOVERNOR MANLY WAY STE 205
Raleigh, NC 27614
(919) 570-7700
✔ PECOS✔ Accepts MedicareSame address
Kelli Pitt, M.D.
Internal Medicine
NPI 1477878759
11200 GOVERNOR MANLY WAY STE 205
Raleigh, NC 27614
(919) 570-7700
✔ PECOS✔ Accepts MedicareSame address
Erika Shah, M.D.
Internal Medicine
NPI 1538459474
11200 GOVERNOR MANLY WAY STE 205
Raleigh, NC 27614
(919) 570-7000
✔ PECOS✔ Accepts MedicareSame address
Amy Shipley, MD
Family Practice
NPI 1467402024
11200 GOVERNOR MANLY WAY SUITE 205
Raleigh, NC 27614
(919) 570-7700
✔ PECOS✔ Accepts MedicareSame address
Sukhman Grewal, MD
Family Practice
NPI 1588242457
11200 GOVERNOR MANLY WAY STE 205
Raleigh, NC 27614
(919) 570-7700
✔ PECOS✔ Accepts MedicareSame address
Natalie Newell, R.D., L.D.N.
Registered Dietitian or Nutrition Professional
NPI 1770771206
11200 GALLERIA AVE
Raleigh, NC 27614
(919) 570-1511
✔ Accepts Medicare0.1 mi
Laura Craven, CPNP-PC
Nurse Practitioner
NPI 1053891960
10831 FOREST PINES DR STE 100
Raleigh, NC 27614
(919) 782-5273
✔ PECOS0.4 mi
Mary Kozuch, PNP
Nurse Practitioner
NPI 1558782698
10831 FOREST PINES DR STE 100
Raleigh, NC 27614
(919) 782-5273
✔ PECOS0.4 mi
Gwyneth Spaeder, MD
Pediatric Medicine
NPI 1124220090
10831 FOREST PINES DR STE 100
Raleigh, NC 27614
(919) 782-5273
✔ PECOS0.4 mi
Diane Gustines
Registered Dietitian or Nutrition Professional
NPI 1477864197
12213 KAYSMOUNT CT
Raleigh, NC 27614
(919) 306-3447
✔ Accepts Medicare1.0 mi
Everlyan Torres, FNP-BC
Nurse Practitioner
NPI 1386404358
11635 NORTHPARK DR STE 200
Wake Forest, NC 27587
(919) 535-4879
✔ PECOS✔ Accepts Medicare1.1 mi
See all 1,329 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

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 34D2011119

Unc Physicians Network, LLC Dba Rex Family Practice Of Wakefield · Raleigh, NC
Active · expires Aug 10, 2028
CLIA Number34D2011119
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2026
Certificate Expiration DateAugust 10, 2028
Laboratory DirectorMona J. Soliman
Laboratory Phone(919) 570-7706
Laboratory LocationUnc Physicians Network, LLC Dba Rex Family Practice Of Wakefield11200 Governor Manly Way, Sutie 205, Raleigh, NC 27614
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 Unc Physicians Network, LLC's NPI number?

The NPI number for Unc Physicians Network, LLC is 1376841874. It was assigned to this organization in the NPPES registry on March 8, 2011. The provider is doing business as Rex Family Practice Of Wakefield and UNC Family Medicine and Pediatrics at Wakefield.

Where is Unc Physicians Network, LLC located?

Unc Physicians Network, LLC is located at 11200 Governor Manly Way Ste 205, Raleigh, NC 27614. The listed phone number is (919) 570-7700.

What is Unc Physicians Network, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Unc Physicians Network, LLC enrolled in Medicare?

Yes. Unc Physicians Network, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Unc Physicians Network, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,329 clinicians in 48 Medicare specialties reassign their Medicare billing to Unc Physicians Network, LLC. 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 Nurse Practitioner (326), Family Practice (177) and Internal Medicine (169). Of these, 14 practice at this address and 53 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Unc Physicians Network, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2011119) is associated with this NPI, valid through August 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Unc Physicians Network, LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Unc Physicians Network, LLC 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 Unc Physicians Network, LLC was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.