Active NPI
Hannah Kathryn Wilder
- Nurse Practitioner
- Mooresville, NC
National Provider Identifier
1023986015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5023483
- Practice address
- 106 Corporate Park Dr Ste 200&300
Mooresville, NC 28117-7133 - Phone
- (704) 235-9090
- Fax
- (704) 235-9101
- NPI assigned
- Oct 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5023483 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | F09251226 | NC |
Addresses
Primary practice location
106 Corporate Park Dr Ste 200&300
Mooresville, NC 28117-7133
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3545 Whitehall Park Dr
Suite 300
Charlotte, NC 28273-4179
PO Box
Charlotte, NC 28260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5023483 | NC | MD | Nurse Practitioner |
| F09251226 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health LKN Family Medicine
- Family Medicine Physician
- Mooresville, NC
- NPI 1346868155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1023986015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 CORPORATE PARK DR STE 200&300",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281177133",
"telephone_number": "704-235-9090",
"fax_number": "704-235-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "HANNAH",
"middle_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-29",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5023483",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "F09251226",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
- Jillian Elizabeth Wiggill, MSOT, OTR
- Peggy Lynn Wike, O.D.
- Sydney Wilson Wike, COTA/L
- Brittany Marie Wilber, OT/L
- Wilder Wellness Center
- William Frank Wilder III, M.A., LPC
- Kayla Anne Wiley, OTD, OTR/L
- Lori Major Wilkinson, PHARMD
- William Collins Wilkinson, MSW, LCSWA
- William B. Curtis, Jr. DMD, PLLC (Curtis Family Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.