Active NPI
Kyle Atkins
- Family Nurse Practitioner
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ATKI-DM8QR9
- Practice address
- 2930 Forestville Rd
Raleigh, NC 27616-8774 - Phone
- (919) 235-6550
- Fax
- (919) 235-6586
- NPI assigned
- Sep 14, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ATKI-DM8QR9 | NC | Primary |
Addresses
Primary practice location
2930 Forestville Rd
Raleigh, NC 27616-8774
Mailing address
2920 Highwoods Blvd
Raleigh, NC 27604-0010
Phone (877) 498-4490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124496633 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | katkins95522@directHISP.wakemed.org | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151113001892 | NC | Practitioner - Nurse Practitioner | 7012227457 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Duke University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 E Davie St
Raleigh, NC 27601-1806
Phone (919) 834-5299
Hospital & facility affiliations
- Wakemed Home Health
- Wakemed, Raleigh Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATKI-DM8QR9 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Specialty Physicians, LLC | Current | Accepting new patients | |
| Wake Specialty Physicians LLC | Current | Accepting new patients |
Locations
2930 Forestville Rd
Raleigh, NC 27616
Phone (919) 235-6500
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630
150 E Davie St
Raleigh, NC 27601
Phone (919) 834-5299
Interoperability endpoints
- katkins95522@directhisp.wakemed.org
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Fuquay Varina, NC
- NPI 1578334892
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Raleigh, NC
- NPI 1467435842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1124496633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 HIGHWOODS BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276040010",
"telephone_number": "877-498-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 FORESTVILLE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276168774",
"telephone_number": "919-235-6550",
"fax_number": "919-235-6586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINS",
"first_name": "KYLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-14",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "ATKI-DM8QR9",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124496633",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "katkins95522@directHISP.wakemed.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "XML",
"address_1": "2930 Forestville Rd",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276168774",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 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; Order and Referring.
- 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.