WILMINGTON PRIMARY CARE, PA
NPI 1881819407
Internal Medicine in Wilmington, NC
About Wilmington Primary Care, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILMINGTON PRIMARY CARE, PA (NPI 1881819407) is a healthcare organization registered as an internal medicine in Wilmington, North Carolina and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through February 10, 2027 and lists Fred H Van Nynatten, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Wilmington Primary Care, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wilmington Primary Care, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 for Provider-Performed Microscopy Procedures (PPMP) 34D0245655
Wilmington Primary Care PA · Wilmington, NCFrequently 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 Wilmington Primary Care, PA's NPI number?
The NPI number for Wilmington Primary Care, PA is 1881819407. It was assigned to this organization in the NPPES registry on April 17, 2007.
Where is Wilmington Primary Care, PA located?
Wilmington Primary Care, PA is located at 1990 S 16th St, Wilmington, NC 28401. The listed phone number is (910) 762-7071.
What is Wilmington Primary Care, PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Wilmington Primary Care, PA enrolled in Medicare?
Yes. Wilmington Primary Care, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wilmington Primary Care, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Wilmington Primary 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wilmington Primary Care, PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0245655) is associated with this NPI, valid through February 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Wilmington Primary Care, PA accept?
Health plans from Blue Cross and Blue Shield of NC list Wilmington Primary 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 Wilmington Primary Care, PA was last updated on August 22, 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.
# Wilmington Primary Care, Pa · NPI 1881819407
Internal Medicine organization in Wilmington, North Carolina. Organization record, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1881819407 (Entity type: Organization)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Fred Van Nynatten, OWNER
## Practice location
- **Address:** 1990 S 16TH ST, Wilmington, NC 28401-6647
- **Phone:** (910) 762-7071 · **Fax:** (910) 762-9658
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881819407) · Data from the CMS NPPES public registry.