Active NPI
Kristin M Ireland, ACNP-BC
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5007561
- Practice address
- 3735 Glenlake Dr Ste 250
Charlotte, NC 28208-6866 - Phone
- (704) 749-5800
- NPI assigned
- Aug 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5007561 | NC | Primary |
Addresses
Primary practice location
3735 Glenlake Dr Ste 250
Charlotte, NC 28208-6866
Mailing address
3735 Glenlake Dr
Charlotte, NC 28208-6846
Phone (047) 749-5800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500
Hospital & facility affiliations
- Novant Health New Hanover Regional Medical Center
- Columbus Regional Healthcare System
- Novant Health Brunswick Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Providence Anesthesiology Associates, P.a. | Current | Accepting new patients | |
| NMG Health Services LLC | Current | Accepting new patients | |
| New Hanover Medical Group PA | Past | Accepting new patients |
Locations
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101
1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
3735 Glenlake Dr
Ste 250
Charlotte, NC 28208
Phone (704) 749-5801
1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
1415 Physicians Dr
Wilmington, NC 28401
Phone (910) 251-3766
Interoperability endpoints
- kireland710085@direct.novanthealth.org
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1396739884
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
-
- Family Medicine Physician
- Wilmington, NC
- NPI 1992751374
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1265865653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3735 GLENLAKE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282086846",
"telephone_number": "047-749-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3735 GLENLAKE DR STE 250",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282086866",
"telephone_number": "704-749-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRELAND",
"first_name": "KRISTIN",
"middle_name": "M",
"credential": "ACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-21",
"last_updated": "2024-02-28",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5007561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.