Individual provider Active NPI

Carolyn Patrick

  • Certified Registered Nurse Anesthetist
  • Raleigh, NC
National Provider Identifier
1093065880
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3456 Issued in NC
Practice address
2308 Tamarack CT
Raleigh, NC 27612-2373
Phone
(773) 938-1181
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3456 NC Primary

Addresses

Primary practice location

2308 Tamarack CT
Raleigh, NC 27612-2373

Mailing address

2308 Tamarack CT
Raleigh, NC 27612-2373
Phone (773) 938-1181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130419000098 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193961068 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians
Salem Professional Anesthesia Services PCGroup PAC ID 9133180326, 17 clinicians

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000

2601 Lake Dr
Suite 201
Raleigh, NC 27607-6689
Phone (919) 783-4888

3812 N Elm St
Greensboro, NC 27455-2596
Phone (336) 294-1833

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jul 15, 2024 Accepting new patients
Regional Anesthesia, PLLC CurrentSince Jul 1, 2018 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Raleigh Sedation Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Raleigh Medical Group, PA CurrentSince Dec 27, 2017 Accepting new patients
Duke University Health System, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Duke University Health System, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jul 15, 2024 Accepting new patients
Salem Professional Anesthesia Services PC Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2023 Accepting new patients
Whitehurst Anesthesia P a Nurse Anesthetist, Certified Registered CurrentSince Jan 8, 2018 Accepting new patients

Locations

128 Peachtree Ln
Ste B
Advance, NC 27006
Phone (336) 998-3396

1505 SW Cary Pkwy
Ste 202
Cary, NC 27511
Phone (919) 249-5087

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

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

120 E Carver St
Durham, NC 27704
Phone (919) 470-1000

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

3812 N Elm St
Greensboro, NC 27455
Phone (336) 294-1833

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

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

2601 Lake Dr
Ste 201
Raleigh, NC 27607
Phone (919) 783-4888

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

3300 Executive Dr
Ste 100
Raleigh, NC 27609
Phone (919) 862-5075

2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216

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

8300 Health Park
Ste 210
Raleigh, NC 27615
Phone (919) 249-5902

Organizations & group practices 12

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": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1093065880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 TAMARACK CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122373",
            "telephone_number": "773-938-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 TAMARACK CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122373",
            "telephone_number": "773-938-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "3456",
            "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 Jan 8, 2021; 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.