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

Mardee L Baxley, MSN, FNP-BC

Individual provider Nurse Practitioner · NPI 1063058972

Mardee L Baxley, MSN, FNP-BC is a Nurse Practitioner in Fayetteville, North Carolina. Qualified in 2018, 8 years ago. Practices with Carolina Kidney Care PA, a 23-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2019
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1991 Fordham Dr Ste 302
Fayetteville, NC 28304-3774
Phone: (910) 491-6793
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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 5012599 (NC)

Record details

NPI number1063058972
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-BC
Sole proprietorYes
NPI enumeratedNovember 26, 2019
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Carolina Kidney Care Pa — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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