Kelly Meagan Brewer Coker, DNP, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Louisburg, NC
NPI 1134895386 · NPPES record last updated Aug 31, 2021
Key facts
- NPI
- 1134895386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5014909 (NC)
- Practice address
- 315 Franklin PLZ
Louisburg, NC 27549-2765 - Phone
- (919) 496-4976
- NPI assigned
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Impact Healthcare, P.a.
Practice addresses (Care Compare)
315 Franklin PLZ
Louisburg, NC 27549-2765
Phone (919) 496-4976
Hospital & facility affiliations
- Maria Parham Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211004000491 | NC | Practitioner - Nurse Practitioner | 7719385988 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Healthcare, P.a. | Current |
Accepting new patients |
Locations
315 S Bickett Blvd
Louisburg, NC 27549
Phone (919) 496-4976
Interoperability endpoints
- kelly.coker.1@23963.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5014909 | NC | Yes |
Addresses
Primary practice location
315 Franklin PLZ
Louisburg, NC 27549-2765
Mailing address
315 Franklin PLZ
Louisburg, NC 27549-2765
Other providers in Louisburg, NC
- Central Community Services, LLC
- Changing Lives With Hope
- Chad Cheuk
- Natasha Clifton
- Cognitive TX Solutions, Inc
- John Coleman Jr.
- Samantha Morgan Coleman
- Quinnley Augusta Coley
- Byron Keith Collins
- Rachel Collins
All providers in Louisburg, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.