Active NPI
Kathryn Ann Kreis, AGNP -C
- Adult Health Nurse Practitioner
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5017774
- Practice address
- 3000 New Bern Ave
Raleigh, NC 27610-1231 - Phone
- (919) 350-8779
- Fax
- (919) 350-8812
- NPI assigned
- Aug 4, 2019
- Last updated
- May 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 5017774 | NC | Primary |
Addresses
Primary practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Mailing address
3809 Computer Dr Ste 100
Raleigh, NC 27609-6518
Phone (197) 819-0789
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Physical Therapy Associates LLC
Practice addresses (Care Compare)
5306 NC Hwy 55
Suite 105
Durham, NC 27713-7812
Phone (337) 991-9276
581 NC Hwy 16 S
Taylorsville, NC 28681-9103
Phone (860) 882-7525
721 Tilghman Dr
Suite 100
Dunn, NC 28334-6066
Phone (910) 892-5635
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5017774 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Eldercare PA | Current | Accepting new patients | |
| Careconnectmd North Carolina P.C. | Current | Accepting new patients | |
| Carolina Rehabilitation and Surgical Associates, PA | Current | Accepting new patients | |
| Curana Health of North Carolina PLLC | Current | Accepting new patients | |
| Geriatric Consultants PLLC | Current | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517
555 S Mangum St
Ste 100
Durham, NC 27701
Phone (323) 545-3659
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
3809 Computer Dr
Ste 100
Raleigh, NC 27609
Phone (919) 645-0116
581 NC Highway 16 S
Taylorsville, NC 28681
Phone (828) 632-8146
4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kathryn.kreis.p1@direct.carolinarehab.nextgenshare.com
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.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1770217176
-
- Geriatric Medicine (Family Medicine) Physician
- Hickory, NC
- NPI 1801478086
-
- General Practice Physician
- Durham, NC
- NPI 1023083268
-
- General Practice Physician
- Durham, NC
- NPI 1104507441
-
- Physical Medicine & Rehabilitation Physician
- Raleigh, NC
- NPI 1518913656
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cape Fear Valley Hoke Hospital
- General Acute Care Hospital
- Raeford, NC
- NPI 1750788238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1386299691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3809 COMPUTER DR STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096518",
"telephone_number": "197-819-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101231",
"telephone_number": "919-350-8779",
"fax_number": "919-350-8812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREIS",
"first_name": "KATHRYN",
"middle_name": "ANN",
"credential": "AGNP -C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-04",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5017774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.