Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NANNETTE SMITH FUNDERBURK PHD, LCMHCS
NPI 1720131576
Counselor - Mental Health in Fayetteville, NC

Active since January 18, 2007PECOS Enrolled
3612 CRANBROOK DR, FAYETTEVILLE, NC 28301(336) 285-7173(336) 285-7174 Get Directions Write a Review

NPPES record last updated: August 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2026, Jun 11, 2025, Oct 27, 2023 (3 updates tracked since 2023).

About Dr. Nannette Smith Funderburk Phd, Lcmhcs NPPES

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

DR. NANNETTE SMITH FUNDERBURK PHD, LCMHCS (NPI 1720131576) is an individual mental health provider in Fayetteville, North Carolina, licensed in North Carolina (5348S) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1720131576
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. NANNETTE SMITH FUNDERBURKCredential: PHD, LCMHCS
Location Address3612 CRANBROOK DRFayetteville, NC 28301-2554
Mailing Address2618 Battleground Ave Ste A, Pmb 266Greensboro, NC 27408-1925 · (336) 285-7173 · Fax (336) 285-7174
Fax(336) 285-7174
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 1, 20263 updates tracked since enumeration
NPPES CertifiedAugust 1, 2026
NPI 1720131576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · 5348S
3612 CRANBROOK DR, Fayetteville, NC 28301

Accepted 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

Dr. Nannette Smith Funderburk Phd, Lcmhcs 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 ID3072670793
PECOS Enrollment IDI20240223003051
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.

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
3612 CRANBROOK DR
FAYETTEVILLE, NC 28301

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 Nannette Funderburk's NPI number?

The NPI number for Nannette Funderburk is 1720131576. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Nannette Funderburk located?

Nannette Funderburk practices at 3612 Cranbrook Dr, Fayetteville, NC 28301. The listed phone number is (336) 285-7173.

What is Nannette Funderburk's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nannette Funderburk enrolled in Medicare?

Yes. Nannette Funderburk 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.

What insurance does Nannette Funderburk accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Nannette Funderburk 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 Nannette Funderburk was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.