NPIMap

Individual provider Active NPI

Nicole P Kerner, M.D.

  • Gynecology Physician
  • Raleigh, NC
National Provider Identifier
1205996998
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
2008-00835 Issued in NC
Practice address
9212 Duncanshire CT
Raleigh, NC 27613-5483
Phone
(919) 206-4880
Fax
(919) 536-9624
NPI assigned
Dec 11, 2006
Last updated
Aug 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 2008-00835 NC Primary

Addresses

Primary practice location

9212 Duncanshire CT
Raleigh, NC 27613-5483

Mailing address

9212 Duncanshire CT
Raleigh, NC 27613-5483
Phone (919) 206-4880

Other identifiers 1

IdentifierTypeStateIssuer
2022737OtherNCMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081006000300 NC Practitioner - Obstetrics/Gynecology 9537153846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York at Buffalo School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

2351 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

5601 Arringdon Park Dr
Morrisville, NC 27560-5676
Phone (919) 684-8111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Carolina Gynecology PA PastSince Sep 1, 2004 Accepting new patients
Women & Infants Hospital of Rhode Island Past Accepting new patients
Community Care Physicians, PC Obstetrics & Gynecology PastSince Aug 2, 2013 Accepting new patients
Community Care Physicians, PLLC Obstetrics & Gynecology Past Accepting new patients

Locations

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

2608 Erwin Rd
Ste 200
Durham, NC 27705
Phone (919) 684-2595

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-1300

5324 McFarland Rd
Ste 300
Durham, NC 27707
Phone (919) 684-2471

5601 Arringdon Park Dr
Morrisville, NC 27560
Phone (888) 275-3853

5601 Arringdon Park Dr
Ste 1
Morrisville, NC 27560

10207 Cerny St
Ste 302
Raleigh, NC 27617
Phone (919) 206-4880

3404 Wake Forest Rd
Ste 200
Raleigh, NC 27609
Phone (919) 235-0097

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7773/brand/55/csg/581/fhir/r4
  • Direct secure messaging: nkerner48569@direct.medicine.duke.edu

Organizations & group practices 5

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 8

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1205996998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 DUNCANSHIRE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135483",
            "telephone_number": "919-206-4880",
            "fax_number": "919-536-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9212 DUNCANSHIRE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135483",
            "telephone_number": "919-206-4880",
            "fax_number": "919-536-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNER",
        "first_name": "NICOLE",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "2008-00835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2022737",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.