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

Nicole Ann Stoneback

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1720646227

Nicole Ann Stoneback is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2019, 7 years ago. Practices with East Carolina University, a 498-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
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Practice location Address checks out

107 Sunnybrook Rd
Raleigh, NC 27610-1827
Phone: (984) 974-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 525 Moye Blvd, Greenville, NC 27834-2849 — (252) 744-1406
  • 5000 Falls Of Neuse Rd Ste 300, Raleigh, NC 27609-5480 — (919) 865-8710

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5011996 (NC)

Record details

NPI number1720646227
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 31, 2019
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice East Carolina University — 498 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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