Individual provider Active NPI

Kristen Lynne Pawlowski, FNP-C

  • Family Nurse Practitioner
  • Denver, NC
National Provider Identifier
1407118615
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006466 Issued in NC
Practice address
275 N NC 16 Business Hwy Ste 104
Denver, NC 28037-3002
Phone
(704) 489-3440
Fax
(888) 815-0892
NPI assigned
Jun 13, 2012
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5006466 NC Primary

Addresses

Primary practice location

275 N NC 16 Business Hwy Ste 104
Denver, NC 28037-3002

Mailing address

7892 Lakeview Dr
Denver, NC 28037-8243
Phone (336) 589-1223

Other practice location 1

3407 W Wendover Ave Ste D
Greensboro, NC 27407-1584
Phone (336) 589-1223

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
I20140303001587 NC Practitioner - Nurse Practitioner 4082860481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

146 Medical Park Rd
Suite 212
Mooresville, NC 28117-8529
Phone (704) 659-7850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5020CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oncology Specialists, PLLC CurrentSince Jan 26, 2026 Accepting new patients
Southern Oncology Specialists, PLLC CurrentSince Jan 26, 2026 Accepting new patients
Equity Health Services, PLLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

10320 Mallard Creek Rd
Ste 100
Charlotte, NC 28262
Phone (704) 547-9500

275 N NC 16 Business Hwy
Ste 104
Denver, NC 28037
Phone (704) 340-5852

3407 W Wendover Ave
Ste D
Greensboro, NC 27407
Phone (336) 589-1223

9930 Kincey Ave
Ste 165
Huntersville, NC 28078
Phone (704) 947-5005

146 Medical Park Rd
Ste 212
Mooresville, NC 28117
Phone (704) 659-7844

1405 Fern Creek Dr
Statesville, NC 28625
Phone (704) 659-7866

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407118615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7892 LAKEVIEW DR",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378243",
            "telephone_number": "336-589-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N NC 16 BUSINESS HWY STE 104",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280373002",
            "telephone_number": "704-489-3440",
            "fax_number": "888-815-0892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3407 W Wendover Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274071584",
            "country_code": "US",
            "telephone_number": "336-589-1223",
            "fax_number": "888-815-0892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAWLOWSKI",
        "first_name": "KRISTEN",
        "middle_name": "LYNNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.