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

Mr. Edward Roy Vanderbilt, MSN, APRN, FNP-C

Individual provider Nurse Practitioner · NPI 1417553942

Mr. Edward Roy Vanderbilt, MSN, APRN, FNP-C is a Nurse Practitioner in Winston Salem, North Carolina. Qualified in 2020, 6 years ago. Accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1304 Ashley Sq
Winston Salem, NC 27103-2919
Phone: (336) 817-9268
Fax: (336) 396-8041
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5013618 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5013618 (NC)

Record details

NPI number1417553942
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , APRN , FNP-C
Sole proprietorNo
NPI enumeratedDecember 9, 2020
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winston Salem