Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Callie Stumbaugh

Individual provider Nurse Practitioner · NPI 1689463994

Callie Stumbaugh is a Nurse Practitioner in Fayetteville, North Carolina. Qualified in 2024, 2 years ago. Practices with Carolina Kidney Care PA, a 23-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2025
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Practice location Address checks out

557 Sandhurst Dr
Fayetteville, NC 28304-4433
Phone: (910) 484-8114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5022093 (NC)

Record details

NPI number1689463994
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 2, 2025
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Carolina Kidney Care Pa — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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