Individual provider Active NPI

Kimberly Nichole Kanupp, PA

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1346845708
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11080 Issued in NC
Practice address
1833 Hendersonville Rd Ste 140
Asheville, NC 28803-3515
Phone
(828) 274-1462
Fax
(828) 505-8186
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3842 SC
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X 0010-11080 NC Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

1833 Hendersonville Rd Ste 140
Asheville, NC 28803-3515

Mailing address

PO Box 16367
Asheville, NC 28816-0367
Phone (828) 252-8957

Other practice location 1

173 Emmas Grove Rd
Fletcher, NC 28732-7438
Phone (828) 777-6878

Other names 1

  • Kimberly Nichole Cohen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210311000435 SC Practitioner - Physician Assistant 6305252677 Reassigns benefits to 1 organization
I20220322000258 NC Practitioner - Physician Assistant 6305252677 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sisters of Mercy Urgent Care IncGroup PAC ID 5496709305, 46 clinicians
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

1201 Patton Ave
Asheville, NC 28806-2707
Phone (828) 252-4878

1272 Tunnel Rd
Suite 10
Asheville, NC 28805-2100
Phone (828) 210-8325

1833 Hendersonville Rd
Suite 140
Asheville, NC 28803-3515
Phone (828) 274-1462

61 Weaver Blvd
Suite 105
Weaverville, NC 28787-9804
Phone (828) 645-5088

8036 Providence Rd
Suite 100
Charlotte, NC 28277-0257
Phone (980) 301-8711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3842SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Apr 26, 2021 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Dec 19, 2025 Accepting new patients
Sisters of Mercy Urgent Care Inc CurrentSince Apr 1, 2022 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Dec 19, 2025 Accepting new patients
Sisters of Mercy Urgent Care Inc CurrentSince Apr 1, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince Apr 26, 2021 Accepting new patients
Emergency Coverage Services, PC Physician Assistant Past Accepting new patients

Locations

1272 Tunnel Rd
Ste 10
Asheville, NC 28805
Phone (828) 210-8325

1833 Hendersonville Rd
Ste 140
Asheville, NC 28803
Phone (828) 274-1462

1201 Patton Ave
Asheville, NC 28806
Phone (828) 252-4878

22 Trust Ln
Ste 101
Brevard, NC 28712
Phone (828) 883-2600

41 Charlie Brown Rd
Ste 8
Burnsville, NC 28714
Phone (828) 536-5575

15235 John J Delaney Dr
Ste B
Charlotte, NC 28277
Phone (704) 243-8937

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

140 W Mills St
#A
Columbus, NC 28722
Phone (828) 802-1011

120 Frazier St
Ste 6
Waynesville, NC 28786
Phone (828) 210-8333

61 Weaver Blvd
Ste 105
Weaverville, NC 28787
Phone (828) 645-5088

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

Interoperability endpoints

  • Direct secure messaging: kimberly.kanupp.1@29997.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1346845708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16367",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288160367",
            "telephone_number": "828-252-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 HENDERSONVILLE RD STE 140",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033515",
            "telephone_number": "828-274-1462",
            "fax_number": "828-505-8186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "173 Emmas Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Fletcher",
            "state": "NC",
            "postal_code": "287327438",
            "country_code": "US",
            "telephone_number": "828-777-6878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANUPP",
        "first_name": "KIMBERLY",
        "middle_name": "NICHOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3842",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11080",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "COHEN",
            "middle_name": "NICHOLE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.