Individual provider Active NPI

Carol Ann Drescher, APRN

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1124255658
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007173 Issued in NC
Practice address
4207 Lake Boone TRL Ste 100
Raleigh, NC 27607-6685
Phone
(919) 784-1410
NPI assigned
Jun 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 054912-23 NH
Primary Care Nurse Practitioner 363LP2300X 054912-23 NH
Family Nurse Practitioner 363LF0000X 5007173 NC Primary

Addresses

Primary practice location

4207 Lake Boone TRL Ste 100
Raleigh, NC 27607-6685

Mailing address

4207 Lake Boone TRL Ste 100
Raleigh, NC 27607-6685
Phone (919) 784-1410

Other practice location 1

2153 Valleygate Dr
Suite 102
Fayetteville, NC 28304-3681
Phone (910) 321-7246

Other identifiers 2

IdentifierTypeStateIssuer
1016887MedicaidVT
3073869MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdrescher321849@direct.UNC.nchie.net Direct

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
I20150113001591 NC Practitioner - Nurse Practitioner 9931246295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

101 SW Cary Pkwy
Cary, NC 27511-5562
Phone (919) 467-7678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054912-23NHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC CurrentSince Jul 14, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Duke University Health System, Inc. Nurse Practitioner Current Accepting new patients
Duke University Health System, Inc. CurrentSince Mar 1, 2020 Accepting new patients

Locations

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

4207 Lake Boone Trl
Ste 100
Raleigh, NC 27607
Phone (919) 784-2741

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

3300 Executive Dr
Ste 301
Raleigh, NC 27609

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

4420 Lake Boone Trl
Ste 201
Raleigh, NC 27607
Phone (919) 784-1097

Interoperability endpoints

  • Direct secure messaging: cdrescher321849@direct.unc.nchie.net
  • Direct secure messaging: carol-drescher@ipcfayetteville.e-mdsdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1124255658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 LAKE BOONE TRL STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076685",
            "telephone_number": "919-784-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 LAKE BOONE TRL STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076685",
            "telephone_number": "919-784-1410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2153 Valleygate Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043681",
            "country_code": "US",
            "telephone_number": "910-321-7246",
            "fax_number": "910-321-7245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRESCHER",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "054912-23",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NH",
            "license": "054912-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016887",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073869",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdrescher321849@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4207 Lake Boone Trl Ste 100",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276076685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.