Individual provider Active NPI

Katelyn Noel Carroll

  • Certified Registered Nurse Anesthetist
  • Raleigh, NC
National Provider Identifier
1063971364
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6438 Issued in NC
Practice address
3024 New Bern Ave
Raleigh, NC 27610-1247
Phone
(919) 350-8000
NPI assigned
Mar 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X 6438 NC Primary

Addresses

Primary practice location

3024 New Bern Ave
Raleigh, NC 27610-1247

Mailing address

8713 Mourning Dove Rd
Raleigh, NC 27615-3208
Phone (313) 244-7889

Other practice location 1

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 784-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015002026 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204256050 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granville Health SystemGroup PAC ID 1052223757, 78 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians
Providence Anesthesiology Associates PAGroup PAC ID 3971566761, 218 clinicians
Chatham Hospital IncGroup PAC ID 4284807868, 70 clinicians

Practice addresses (Care Compare)

1010 College St
Oxford, NC 27565-2507
Phone (919) 690-3000

1135 Carthage St
Sanford, NC 27330-4162
Phone (919) 774-2100

1305 Glen Meade Rd
Wilmington, NC 28401-7369
Phone (910) 815-6100

1524 E Morehead St
Charlotte, NC 28207-1606
Phone (704) 343-3400

1901 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 316-2000

1918 Randolph Rd
Suite 740
Charlotte, NC 28207-1167
Phone (704) 316-0810

1918 Randolph Rd
Suite 820
Charlotte, NC 28207-1119
Phone (704) 980-6000

209 E Carver St
Durham, NC 27704-2133
Phone (919) 471-2273

2711 Randolph Rd
Suite 510
Charlotte, NC 28207-2027
Phone (704) 358-8898

475 Progress Blvd
Siler City, NC 27344-6787
Phone (919) 799-4000

Hospital & facility affiliations

  • Granville Health Systems Hospital, Oxford, NC, CCN 340127
  • North Carolina Specialty Hospital Hospital, Durham, NC, CCN 340049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington ASC LLC CurrentSince Aug 6, 2025 Accepting new patients
Wilmington Health PLLC CurrentSince Aug 6, 2025 Accepting new patients
Eagle Physicians and Associates PA Current Accepting new patients
Chatham Hospital, Inc. CurrentSince Aug 16, 2025 Accepting new patients
Granville Health System Nurse Anesthetist, Certified Registered CurrentSince Dec 10, 2024 Accepting new patients
Granville Health System CurrentSince Dec 10, 2024 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Apr 8, 2024 Accepting new patients
Providence Anesthesiology Associates, P.a. Anesthesiology CurrentSince Aug 8, 2023 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Dec 1, 2023 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Oct 9, 2020 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Aug 20, 2023 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Oct 9, 2020 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Dec 1, 2023 Accepting new patients
Chatham Hospital Inc CurrentSince Aug 16, 2025 Accepting new patients
Chatham Hospital Inc CurrentSince Aug 16, 2025 Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

1002 N Church St
Ste 201
Greensboro, NC 27401
Phone (336) 378-0713

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

1305 Glen Meade Rd
Wilmington, NC 28401
Phone (910) 815-6100

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1552694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1063971364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8713 MOURNING DOVE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153208",
            "telephone_number": "313-244-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101247",
            "telephone_number": "919-350-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "919-784-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KATELYN",
        "middle_name": "NOEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-16",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "6438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.