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

Mackensie Grant De la Roca, FNP

Individual provider Nurse Practitioner · NPI 1134720766

Mackensie Grant De la Roca, FNP is a Nurse Practitioner in Forest City, North Carolina. Graduated from University of South Carolina School of Medicine in 2019, 7 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
7
Trained at
University of South Carolina School of Medicine
Licensed in
NC
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

181 Daniel Rd
Forest City, NC 28043-7151
Phone: (828) 286-9036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5013589 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5013589 (NC)

Record details

NPI number1134720766
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 2, 2020
Last updated in NPPESJuly 15, 2024
Certification dateMay 6, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Forest City