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

Genevieve Nodarse, PA

Individual provider Physician Assistant · NPI 1245954510

Genevieve Nodarse, PA is a Physician Assistant in Wilmington, North Carolina. Qualified in 2022, 4 years ago. Practices with Coastal Horizons Center, Inc, a 50-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone: (910) 343-0145
Fax: (910) 341-5779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1886 Nc Hwy S 133, Rocky Point, NC 28457-2845 — (910) 259-0668
  • 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 — (910) 754-4515

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-13754 (NC)

Record details

NPI number1245954510
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 30, 2022
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Coastal Horizons Center, Inc. — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wilmington