Fayetteville Internal Medicine PLLC
NPI 1417684135 · Family Nurse Practitioner · Fayetteville, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fayetteville Internal Medicine PLLC is a Family Nurse Practitioner organization in Fayetteville, NC (NPI 1417684135).
Provider details
- NPI number
- 1417684135
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jennifer Fortin, Office Manager(910) 483-4680
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-08-03
- Last updated
- 2024-12-02
- Certified
- 2024-12-02
Frequently asked questions
- What is Fayetteville Internal Medicine PLLC's NPI number?
- Fayetteville Internal Medicine PLLC's National Provider Identifier (NPI) is 1417684135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fayetteville Internal Medicine PLLC?
- Fayetteville Internal Medicine PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Fayetteville Internal Medicine PLLC located?
- Fayetteville Internal Medicine PLLC's practice location on file with NPPES is 1766 Metromedical Dr, Fayetteville, NC 28304-3861.
- What is Fayetteville Internal Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fayetteville Internal Medicine PLLC is (910) 483-4856.
- Does Fayetteville Internal Medicine PLLC accept Medicare?
- Fayetteville Internal Medicine PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fayetteville Internal Medicine PLLC?
- The authorized official listed on Fayetteville Internal Medicine PLLC's NPPES record is Jennifer Fortin, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fayetteville Internal Medicine PLLC's NPI active?
- Yes — Fayetteville Internal Medicine PLLC's NPI (1417684135) is active in the NPPES registry as of the last update on 2024-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.