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

Elsa Mae Q Bagnulo, ANP, BC

Individual provider Adult Health Nurse Practitioner · NPI 1588848758

Elsa Mae Q Bagnulo, ANP, BC is a Nurse Practitioner in Wake Forest, North Carolina. Qualified in 2007, 19 years ago. Practices with Wake Specialty Physicians LLC, a 178-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
19
Licensed in
NC
In the registry since
2007
What do these letters mean?
BC — Board Certified
Appended to another credential to show current board certification, as in APRN-BC.

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Practice location Address checks out

11640 Northpark Dr
Wake Forest, NC 27587-5736
Phone: (919) 235-6540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Exposition Pl Ste 218, Raleigh, NC 27615-3359 — (919) 791-2900

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 0050-03747 (NC)

Record details

NPI number1588848758
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP , BC
Sole proprietorNo
NPI enumeratedDecember 24, 2007
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Wake Specialty Physicians Llc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wake Forest