MARY THERESE PHELAN FNP
NPI 1629552567
Nurse Practitioner - Family in Raleigh, NC
About Mary Therese Phelan Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY THERESE PHELAN FNP (NPI 1629552567) is an individual family provider in Raleigh, North Carolina, licensed in North Carolina (5010958) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Therese Phelan 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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Therese Phelan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fuquay Varina, NC 27526
- Reassigned Medicare billing, North Carolina enrollment
- 217 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Therese Phelan's NPI number?
The NPI number for Mary Therese Phelan is 1629552567. It was assigned to this individual provider in the NPPES registry on September 17, 2018.
Where is Mary Therese Phelan located?
Mary Therese Phelan practices at 815 Oberlin Rd, Raleigh, NC 27605. The listed phone number is (919) 322-4722.
What is Mary Therese Phelan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Therese Phelan enrolled in Medicare?
Yes. Mary Therese Phelan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mary Therese Phelan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Therese Phelan reassigns Medicare benefits to Avance Care, PA (Fuquay Varina, NC). The 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 Mary Therese Phelan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Therese Phelan accept?
Health plans from Cigna Healthcare and UnitedHealthcare list Mary Therese Phelan 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 Mary Therese Phelan was last updated on September 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mary Therese Phelan, FNP · NPI 1629552567
Family physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since September 17, 2018.
## Identity
- **NPI:** 1629552567 (Entity type: Individual)
- **Enumerated:** September 17, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5010958 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 815 OBERLIN RD, Raleigh, NC 27605-1300
- **Phone:** (919) 322-4722
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Avance Care, PA (NPI 1487845020, Fuquay Varina, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** September 17, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1629552567) · Data from the CMS NPPES public registry.