Individual provider Active NPI

Karyl Anne Noonan, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1043601479
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05550 Issued in NC
Practice address
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone
(919) 350-8779
Fax
(919) 350-8812
NPI assigned
Feb 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-05550 NC Primary

Addresses

Primary practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Mailing address

400 Keisler Dr
Cary, NC 27518-7069
Phone (919) 781-9078

Other practice location 1

312 S Main St
Stantonsburg, NC 27883-9504
Phone (252) 238-2757

Other practice location 2

312 S Main St
Stantonsburg, NC 27883-9504
Phone (252) 238-2757

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150427000220 NC Practitioner - Physician Assistant 0244559227 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Eldercare PAGroup PAC ID 0648184705, 236 clinicians
Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians

Practice addresses (Care Compare)

191 Crestview Dr
Mocksville, NC 27028-2643
Phone (336) 751-1515

5306 NC Hwy 55
Suite 105
Durham, NC 27713-7812
Phone (337) 991-9276

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Durham, NC, CCN 347110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Wilson Physician Practices LLC Physician Assistant Current Accepting new patients
Curana Health of North Carolina PLLC CurrentSince Dec 3, 2025 Accepting new patients
Physicians Eldercare PA CurrentSince Dec 3, 2025 Accepting new patients
DLP Wilson Physician Practices LLC CurrentSince Mar 1, 2015 Accepting new patients
DLP Wilson Physician Practices LLC CurrentSince Mar 1, 2015 Accepting new patients

Locations

5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517

191 Crestview Dr
Mocksville, NC 27028
Phone (336) 751-1515

2605 Forest Hills Rd SW
Ste A
Wilson, NC 27893
Phone (252) 243-0043

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Interoperability endpoints

  • Direct secure messaging: karyl.noonan.p1@direct.carolinarehab.nextgenshare.com
  • Direct secure messaging: knoonan152465@direct.unc.nchie.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043601479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 KEISLER DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187069",
            "telephone_number": "919-781-9078",
            "fax_number": "919-719-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101231",
            "telephone_number": "919-350-8779",
            "fax_number": "919-350-8812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 S Main St",
            "address_purpose": "LOCATION",
            "city": "Stantonsburg",
            "state": "NC",
            "postal_code": "278839504",
            "country_code": "US",
            "telephone_number": "252-238-2757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 S Main St",
            "address_purpose": "LOCATION",
            "city": "Stantonsburg",
            "state": "NC",
            "postal_code": "278839504",
            "country_code": "US",
            "telephone_number": "252-238-2757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "KARYL",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.