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

Mary Payne Mentzer, NP

Individual provider Gerontology Nurse Practitioner · NPI 1962858258

Mary Payne Mentzer, NP is a Nurse Practitioner in Fayetteville, North Carolina. Qualified in 2015, 11 years ago. Practices with Carolina Kidney Care PA, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2016
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

557 Sandhurst Dr
Fayetteville, NC 28304-4433
Phone: (910) 484-8114
Fax: (910) 484-1564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Hawthorne Ln, Charlotte, NC 28204-2515 — (910) 433-3847

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5008407 (NC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 5008407 (NC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 5008407 (NC)

Record details

NPI number1962858258
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 5, 2016
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Carolina Kidney Care Pa — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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