Individual provider Active NPI

Kristen Geyer, FNP-BC

  • Nurse Practitioner
  • Holly Springs, NC
National Provider Identifier
1396298501
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008571 Issued in NC
Practice address
107 Hyannis Dr
Holly Springs, NC 27540-8336
Phone
(919) 363-8666
Fax
(919) 363-8668
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5008571 NC Primary
Family Medicine Physician 207Q00000X 5008571 NC
Family Nurse Practitioner 363LF0000X 5008571 NC
Primary Care Nurse Practitioner 363LP2300X 5008571 NC

Addresses

Primary practice location

107 Hyannis Dr
Holly Springs, NC 27540-8336

Mailing address

107 Hyannis Dr
Holly Springs, NC 27540-8336
Phone (919) 363-8666

Other practice location 1

1106 Parkside Main St
Cary, NC 27519-6950
Phone (919) 261-6446

Other identifiers 2

IdentifierTypeStateIssuer
5008571OtherNCSTATELICENSE
MG3972379OtherNCDEA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180919000523 NC Practitioner - Nurse Practitioner 4688925357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-City Family Medicine and Urgent Care Clinic PLLCGroup PAC ID 3173606100, 5 clinicians

Practice addresses (Care Compare)

107 Hyannis Dr
Holly Springs, NC 27540-8336
Phone (919) 363-8666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008571NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Family Medicine & Urgent Care Clinic, PLLC Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Tri-City Family Medicine & Urgent Care Clinic, PLLC Family Medicine PastSince Aug 1, 2018 Accepting new patients

Locations

1106 Parkside Main St
Cary, NC 27519
Phone (919) 261-6446

107 Hyannis Dr
Holly Springs, NC 27540
Phone (919) 363-8666

Organizations & group practices 2

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1396298501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HYANNIS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408336",
            "telephone_number": "919-363-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HYANNIS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408336",
            "telephone_number": "919-363-8666",
            "fax_number": "919-363-8668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 Parkside Main St",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275196950",
            "country_code": "US",
            "telephone_number": "919-261-6446",
            "fax_number": "919-261-6448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEYER",
        "first_name": "KRISTEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008571",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5008571",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008571",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5008571",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATELICENSE",
            "identifier": "5008571",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEA",
            "identifier": "MG3972379",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.