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

Mr. Ralph Warren Pasaporte Reyes, BSNRN

Individual provider Nephrology Registered Nurse · NPI 1780428946

Mr. Ralph Warren Pasaporte Reyes, BSNRN is a Nurse Practitioner in Goldsboro, North Carolina. Qualified in 2025, 1 year ago. Practices with Eastern Nephrology Associates PLLC, a 75-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2809 McLamb Pl
Goldsboro, NC 27534-1647
Phone: (919) 580-9840
Fax: (919) 580-9838
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5023795 (NC)
Nephrology Registered Nurse Taxonomy 163WN0300X · Licence 318514 (NC)

Record details

NPI number1780428946
Entity typeIndividual (Type 1)
GenderMale
Credentials BSNRN
Sole proprietorYes
NPI enumeratedJune 22, 2024
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Eastern Nephrology Associates Pllc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount