Individual provider Active NPI

Katie Lynn Sass, MSN, FNP

  • Nurse Practitioner
  • Kannapolis, NC
National Provider Identifier
1053978213
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011807 Issued in NC
Practice address
1035 Dale Earnhardt Blvd
Kannapolis, NC 28083-4477
Phone
(704) 316-1886
Fax
(704) 316-1887
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5011807 NC
Nurse Practitioner 363L00000X 5011807 NC Primary

Addresses

Primary practice location

1035 Dale Earnhardt Blvd
Kannapolis, NC 28083-4477

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

7004 Smith Corners Blvd Ste A
Charlotte, NC 28269-3827
Phone (704) 688-9650

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
I20190910002095 NC Practitioner - Nurse Practitioner 2668701020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

6555 Kee LN
Suite 200
Harrisburg, NC 28075-7463
Phone (704) 316-2319

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 20, 2022 Accepting new patients
Promed Healthcare, PLLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 20, 2022 Accepting new patients
Promed Healthcare, PLLC CurrentSince Jul 12, 2019 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

7004 Smith Corners Blvd
Ste A
Charlotte, NC 28269
Phone (704) 688-9650

6555 Kee Ln
Ste 200
Harrisburg, NC 28075
Phone (704) 316-2319

1035 Dale Earnhardt Blvd
Kannapolis, NC 28083
Phone (704) 316-1886

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22472/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ksass1046358@direct.novanthealth.org

Organizations & group practices 6

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1053978213",
    "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": "1035 DALE EARNHARDT BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280834477",
            "telephone_number": "704-316-1886",
            "fax_number": "704-316-1887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7004 Smith Corners Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282693827",
            "country_code": "US",
            "telephone_number": "704-688-9650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASS",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011807",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

Verify at the official NPI Registry.