Individual provider Active NPI

Kathy Faye Mills, FNP

  • Family Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1083954689
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005988 Issued in NC
Practice address
550 Glenwood Dr
Mooresville, NC 28115-2876
Phone
(704) 664-7494
Fax
(704) 664-8454
NPI assigned
Feb 20, 2013
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5005988 NC Primary

Addresses

Primary practice location

550 Glenwood Dr
Mooresville, NC 28115-2876

Mailing address

550 Glenwood Dr
Mooresville, NC 28115-2876
Phone (704) 664-7494

Other identifiers 1

IdentifierTypeStateIssuer
1083954689MedicaidNC

Other names 1

  • Kathy Faye Koehn Former name

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
I20130719000210 NC Practitioner - Nurse Practitioner 2062653934 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacs, PCGroup PAC ID 6002121530, 10 clinicians
Physicians Eldercare PAGroup PAC ID 0648184705, 236 clinicians
Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians

Practice addresses (Care Compare)

10021 Park Cedar Dr
Suite 200
Charlotte, NC 28210-8701
Phone (704) 438-9383

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5005988NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Eldercare PA CurrentSince Nov 12, 2025 Accepting new patients
Telos Health Systems NC PLLC CurrentSince Jan 28, 2020 Accepting new patients
Curana Health of North Carolina PLLC CurrentSince Nov 12, 2025 Accepting new patients
Pacs, PC CurrentSince May 19, 2021 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients

Locations

10021 Park Cedar Dr
Ste 200
Charlotte, NC 28210
Phone (704) 438-9383

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

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

877 Hill Everhart Rd
Lexington, NC 27295
Phone (336) 248-6644

550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1083954689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GLENWOOD DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152876",
            "telephone_number": "704-664-7494",
            "fax_number": "704-664-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 GLENWOOD DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152876",
            "telephone_number": "704-664-7494",
            "fax_number": "704-664-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "KATHY",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083954689",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "KOEHN",
            "middle_name": "FAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.