Individual provider Active NPI

Kristen Carter Cole, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Wylie, SC
National Provider Identifier
1174225098
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
27077 Issued in SC
Practice address
4607 Charlotte Hwy Ste 120
Lake Wylie, SC 29710-8149
Phone
(803) 694-7745
Fax
(843) 790-1883
NPI assigned
Mar 22, 2023
Last updated
May 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5019459 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 27077 SC Primary

Addresses

Primary practice location

4607 Charlotte Hwy Ste 120
Lake Wylie, SC 29710-8149

Mailing address

4607 Charlotte Hwy Ste 120
Lake Wylie, SC 29710-8149
Phone (803) 694-7745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20230531002279 SC Practitioner - Nurse Practitioner 0648637017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Clover, SC 29710
Phone (843) 729-9138

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5019459NCMDPsychiatric/Mental Health Nurse Practitioner
27077SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Psychiatry, LLC Psychiatric/Mental Health CurrentSince Oct 9, 2023 Accepting new patients

Locations

4607 Charlotte Hwy
Ste 120
Lake Wylie, SC 29710
Phone (803) 694-7745

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1174225098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 CHARLOTTE HWY STE 120",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108149",
            "telephone_number": "803-694-7745",
            "fax_number": "843-790-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 CHARLOTTE HWY STE 120",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108149",
            "telephone_number": "803-694-7745",
            "fax_number": "843-790-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KRISTEN",
        "middle_name": "CARTER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5019459",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "27077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wylie, SC

Sources for this page

Verify at the official NPI Registry.