Individual provider Active NPI

Danielle Kathryn Du Fresne

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1124750286
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12651 Issued in NC
Practice address
155 Parkway Office CT Ste 201
Cary, NC 27518-7427
Phone
(919) 233-2022
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-12651 NC Primary

Addresses

Primary practice location

155 Parkway Office CT Ste 201
Cary, NC 27518-7427

Mailing address

700 Stinson Ave
Holly Springs, NC 27540-8365
Phone (503) 421-9173

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
I20221121001085 NC Practitioner - Physician Assistant 0042688194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cary Medical Clinic, PCGroup PAC ID 9931394699, 6 clinicians

Practice addresses (Care Compare)

155 Pkwy Office CT
Suite 201
Cary, NC 27518-7427
Phone (919) 233-2022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-12651NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. PastSince Nov 6, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1124750286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 STINSON AVE",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408365",
            "telephone_number": "503-421-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PARKWAY OFFICE CT STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187427",
            "telephone_number": "919-233-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU FRESNE",
        "first_name": "DANIELLE",
        "middle_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.