NPIMap

Individual provider Active NPI

Kathryn Ann Meurer, PAC

  • Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1356432595
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05896 Issued in NC
Practice address
101 Robeson
Fayetteville, NC 28301-5520
Phone
(859) 236-9292
Fax
(859) 236-3713
NPI assigned
Sep 27, 2006
Last updated
Dec 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA505 KY
Physician Assistant 363A00000X 0010-05896 NC Primary

Addresses

Primary practice location

101 Robeson
Fayetteville, NC 28301-5520

Mailing address

5806 Dobson Dr
Fayetteville, NC 28311-9999
Phone (859) 797-4770

Other names 1

  • Kathryn Ann Wagner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Point of Care PLLC Past Accepting new patients
Elder Care Plus Inc Physician Assistant PastSince Dec 6, 2005 Accepting new patients
Casey County Hospital District Past Accepting new patients
Elderserve, Inc. Past Accepting new patients

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, 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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1356432595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5806 DOBSON DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119999",
            "telephone_number": "859-797-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROBESON",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015520",
            "telephone_number": "859-236-9292",
            "fax_number": "859-236-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEURER",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA505",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "WAGNER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.