Individual provider Active NPI

Kristie Pernell Gitto, FNP-C

  • Nurse Practitioner
  • Louisburg, NC
National Provider Identifier
1104641794
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5021216 Issued in NC
Practice address
315 Franklin PLZ
Louisburg, NC 27549-2765
Phone
(919) 496-4976
Fax
(919) 496-4978
NPI assigned
Nov 19, 2024
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5021216 NC Primary

Addresses

Primary practice location

315 Franklin PLZ
Louisburg, NC 27549-2765

Mailing address

315 Franklin PLZ
Louisburg, NC 27549-2765
Phone (919) 496-4976

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
I20241231000853 NC Practitioner - Nurse Practitioner 3375070493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians
Impact Healthcare, P.a.Group PAC ID 3476810532, 11 clinicians

Practice addresses (Care Compare)

1501 N Bickett Blvd
Suite F
Louisburg, NC 27549-2178
Phone (919) 497-8414

315 Franklin PLZ
Louisburg, NC 27549-2765
Phone (919) 496-4976

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Healthcare, P.a. Multi-Specialty CurrentSince Feb 1, 2025 Accepting new patients

Locations

315 S Bickett Blvd
Louisburg, NC 27549
Phone (919) 496-4976

Interoperability endpoints

  • Direct secure messaging: kristie.gitto.1@23963.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1104641794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 FRANKLIN PLZ",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492765",
            "telephone_number": "919-496-4976",
            "fax_number": "919-496-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 FRANKLIN PLZ",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492765",
            "telephone_number": "919-496-4976",
            "fax_number": "919-496-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTO",
        "first_name": "KRISTIE",
        "middle_name": "PERNELL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5021216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisburg, NC

Sources for this page

Verify at the official NPI Registry.