Individual provider Active NPI

Kelly Meagan Brewer Coker, DNP, FNP-BC

  • Family Nurse Practitioner
  • Louisburg, NC
National Provider Identifier
1134895386
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014909 Issued in NC
Practice address
315 Franklin PLZ
Louisburg, NC 27549-2765
Phone
(919) 496-4976
NPI assigned
Aug 18, 2021
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5014909 NC Primary

Addresses

Primary practice location

315 Franklin PLZ
Louisburg, NC 27549-2765

Mailing address

315 Franklin PLZ
Louisburg, NC 27549-2765

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
I20211004000491 NC Practitioner - Nurse Practitioner 7719385988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Healthcare, P.a.Group PAC ID 3476810532, 11 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Healthcare, P.a. CurrentSince Aug 1, 2021 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: kelly.coker.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 2

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1134895386",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "KELLY",
        "middle_name": "MEAGAN BREWER",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisburg, NC

Sources for this page

Verify at the official NPI Registry.