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

Mr. Clarence David Runnels III, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1487129649

Mr. Clarence David Runnels III, PMHNP-BC is a Nurse Practitioner in Cary, North Carolina. Qualified in 2018, 8 years ago. Works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2018
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

523 Keisler Dr Ste 202
Cary, NC 27518-7099
Phone: (919) 601-6442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 790 Se Cary Pkwy Ste 201, Cary, NC 27511-5678 — (919) 354-0840
  • 402 N Main Street, Creedmoor, NC 27522 — (919) 529-2474

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5011070 (NC)

Record details

NPI number1487129649
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 3, 2018
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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