Individual provider Active NPI

Dorene Katherine Caldwell, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1437030103
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5022949 Issued in NC
Practice address
4801 E Independence Blvd Ste 501
Charlotte, NC 28212-5494
Phone
(704) 388-6736
Fax
(949) 695-3608
NPI assigned
Sep 10, 2025
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5022949 NC Primary

Addresses

Primary practice location

4801 E Independence Blvd Ste 501
Charlotte, NC 28212-5494

Mailing address

4801 E Independence Blvd Ste 501
Charlotte, NC 28212-5494
Phone (704) 388-6736

Other practice location 1

1004 Rockland Cir SW
Concord, NC 28027-6870
Phone (704) 794-2396

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
I20260206000375 NC Practitioner - Nurse Practitioner 3173002508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Step Up Care of North Carolina PCGroup PAC ID 4486036878, 19 clinicians
Peaceful Aura Behavioral Health Services PLLCGroup PAC ID 9739604950, 2 clinicians

Practice addresses (Care Compare)

3250 Homestead Club Dr
Winston Salem, NC 27103-6787
Phone (718) 506-1115

4801 E Independence Blvd
Suite 501
Charlotte, NC 28212-5494
Phone (704) 388-6736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
5022949NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Aura Behavioral Health Services PLLC Psychiatric/Mental Health CurrentSince Nov 1, 2025 Accepting new patients

Locations

4801 E Independence Blvd
Ste 501
Charlotte, NC 28212
Phone (704) 388-6736

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, 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": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1437030103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E INDEPENDENCE BLVD STE 501",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125494",
            "telephone_number": "704-388-6736",
            "fax_number": "949-695-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E INDEPENDENCE BLVD STE 501",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125494",
            "telephone_number": "704-388-6736",
            "fax_number": "949-695-3608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Rockland Cir SW",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280276870",
            "country_code": "US",
            "telephone_number": "704-794-2396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "DORENE",
        "middle_name": "KATHERINE",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5022949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.