CCHC EXTENDED CARE
NPI 1528623790
Internal Medicine in New Bern, NC

Q: What is Coastal Carolina Health Care PA's NPI number?

The NPI number for Coastal Carolina Health Care PA is 1528623790. It was assigned to this organization in the NPPES registry on May 3, 2019. The provider is doing business as Cchc Extended Care.

Q: What is Coastal Carolina Health Care PA's specialty?

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

Active since May 03, 2019

1040 MEDICAL PARK AVE, NEW BERN, NC 28562(252) 638-2273(252) 633-1403 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2020, May 7, 2019, May 3, 2019 (3 updates tracked since 2019).

On this page

About Cchc Extended Care NPPES

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

CCHC EXTENDED CARE (NPI 1528623790) is a healthcare organization registered as an internal medicine in New Bern, North Carolina and active in the NPI registry since May 2019. The organization lists Stephen W. Nuckolls, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528623790

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCOASTAL CAROLINA HEALTH CARE PA

Location Address1040 MEDICAL PARK AVENew Bern, NC 28562-5248

Mailing AddressPo Box 12248New Bern, NC 28561-2248 · (252) 514-6685 · Fax (252) 514-2745

Phone(252) 638-2273

Fax(252) 633-1403

Organization SubpartNo

Authorized OfficialStephen W. NuckollsCeo · (252) 514-6685

Enumeration DateMay 3, 2019

Last NPPES UpdateJanuary 9, 20203 updates tracked since enumeration

✔ NPI 1528623790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedHospitalistTaxonomy 208M00000X

1040 MEDICAL PARK AVE, New Bern, NC 28562

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Other Names 1

Doing Business AsCchc Extended Care

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

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)

Cchc Extended Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

119

Medicare enrollment records show 119 clinicians reassign Medicare billing to Cchc Extended Care, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 82 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner29

Family Practice22

Diagnostic Radiology18

Internal Medicine14

Pathology8

Gastroenterology4

Podiatry4

Emergency Medicine3

11 other specialties17

Nearest to this location (20)

See all 119

Frances Bailey, FNP

Nurse Practitioner

NPI 1457484859

1040 MEDICAL PARK AVE
New Bern, NC 28562

(252) 633-1678

✔ PECOS✔ Accepts MedicareSame address

Alexander Clark, MD

Family Practice

NPI 1427792688

1040 MEDICAL PARK AVE
New Bern, NC 28562

(252) 633-1678

✔ PECOS✔ Accepts MedicareSame address

Shannon Gillikin

Nurse Practitioner

NPI 1720950256

1040 MEDICAL PARK AVE
New Bern, NC 28562

(252) 514-2061

✔ PECOS✔ Accepts MedicareSame address

Alexandra Kleczek, FNP-C

Nurse Practitioner

NPI 1043194426

1040 MEDICAL PARK AVE
New Bern, NC 28562

(252) 633-1678

✔ PECOS✔ Accepts MedicareSame address

Yvette Moleta, FNP

Nurse Practitioner

NPI 1851948590

1040 MEDICAL PARK AVE
New Bern, NC 28562

(252) 638-2273

✔ PECOS✔ Accepts MedicareSame address

Karlee Morris, FNP-C

Nurse Practitioner

NPI 1568351427

1040 MEDICAL PARK AVE
New Bern, NC 28562

(252) 638-2273

✔ PECOS✔ Accepts MedicareSame address

Michael Somers, MD

Emergency Medicine

NPI 1659304186

1040 MEDICAL PARK AVE
New Bern, NC 28562

(252) 638-2273

✔ PECOS✔ Accepts MedicareSame address

Crystal Toler, FNP-C

Nurse Practitioner

NPI 1013621499

1040 MEDICAL PARK AVE
New Bern, NC 28562

(252) 638-2273

✔ PECOS✔ Accepts MedicareSame address

John Burnett, MD

Family Practice

NPI 1760438972

1040 MEDICAL PARK AVE
New Bern, NC 28562

(252) 633-1678

✔ PECOS✔ Accepts MedicareSame address

Martin Degraw, MD

Family Practice

NPI 1851345920

1040 MEDICAL PARK AVE
New Bern, NC 28562

(252) 633-1678

✔ PECOSSame address

Brittany Grady, D.O.

Family Practice

NPI 1326458506

1040 MEDICAL PARK AVE
New Bern, NC 28562

(252) 633-1678

✔ PECOS✔ Accepts MedicareSame address

April Graves, FNP-C

Nurse Practitioner

NPI 1619336211

1040 MEDICAL PARK AVE
New Bern, NC 28562

(252) 633-1678

✔ PECOS✔ Accepts MedicareSame address

Susie Sant'anna, DPM

Podiatry

NPI 1477527562

800 MEDICAL PARK AVE
New Bern, NC 28562

(252) 637-3988

✔ PECOS✔ Accepts Medicare0.1 mi

Samuel Dail, M.D.

Family Practice

NPI 1255710331

1040 MEDICAL PARK AVE
New Bern, NC 28562

(252) 633-1678

✔ PECOS✔ Accepts Medicare0.1 mi

Britney Casciello, FNP

Nurse Practitioner

NPI 1609448182

1000 MEDICAL PARK AVE
New Bern, NC 28562

(252) 634-3278

✔ PECOS✔ Accepts Medicare0.1 mi

Christopher Harris, DO

Psychiatry

NPI 1851716831

3252 WELLONS BLVD
New Bern, NC 28562

(252) 637-0368

✔ PECOS✔ Accepts Medicare0.1 mi

Kully Woodruff, M.D.

Internal Medicine

NPI 1750624813

3252 WELLONS BLVD
New Bern, NC 28562

(252) 636-2664

✔ PECOS✔ Accepts Medicare0.1 mi

David Byrd, MD

Gastroenterology

NPI 1831145044

3100 WELLONS BLVD
New Bern, NC 28562

(252) 634-9000

✔ PECOS✔ Accepts Medicare0.2 mi

Michael Casciello, M.D.

Cardiovascular Disease (Cardiology)

NPI 1639166960

941 NEWMAN RD
New Bern, NC 28562

(252) 634-3278

✔ PECOS✔ Accepts Medicare0.3 mi

Matthew Grove, DO

Interventional Cardiology

NPI 1841322260

941 NEWMAN RD
New Bern, NC 28562

(252) 634-3278

✔ PECOS✔ Accepts Medicare0.3 mi

See all 119 clinicians

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 Coastal Carolina Health Care PA's NPI number?

The NPI number for Coastal Carolina Health Care PA is 1528623790. It was assigned to this organization in the NPPES registry on May 3, 2019. The provider is doing business as Cchc Extended Care.

Where is Coastal Carolina Health Care PA located?

Coastal Carolina Health Care PA is located at 1040 Medical Park Ave, New Bern, NC 28562. The listed phone number is (252) 638-2273.

What is Coastal Carolina Health Care PA's specialty?

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

Is Coastal Carolina Health Care PA enrolled in Medicare?

Yes. Coastal Carolina Health Care PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Carolina Health Care PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 119 clinicians in 19 Medicare specialties reassign their Medicare billing to Coastal Carolina Health Care PA. 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 (29), Family Practice (22) and Diagnostic Radiology (18). Of these, 12 practice at this address and 82 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coastal Carolina Health Care PA accept?

Health plans from Blue Cross and Blue Shield of NC list Coastal Carolina Health Care 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 Coastal Carolina Health Care PA was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.