Individual provider Active NPI

Kaitlin Laws, NP-C

  • Obstetrics & Gynecology Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1467252247
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
F0325036 Issued in NC
Practice address
736 Medical Center Dr Ste 102
Wilmington, NC 28401-4250
Phone
(910) 452-3666
NPI assigned
Mar 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X F0325036 NC Primary

Addresses

Primary practice location

736 Medical Center Dr Ste 102
Wilmington, NC 28401-4250

Mailing address

6403 Old Fort Rd
Wilmington, NC 28411-4772

Other names 1

  • Kaitlin Koroschetz Former name

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
I20250905001807 NC Practitioner - Nurse Practitioner 5890204887 Reassigns benefits to 1 organization

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
Azalea Gynecology PAGroup PAC ID 5799157749, 2 clinicians

Practice addresses (Care Compare)

736 Medical Ctr Dr
Suite 102
Wilmington, NC 28401-4250
Phone (910) 452-3666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F0325036NCMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Gynecology PA CurrentSince Jun 24, 2025 Accepting new patients

Locations

736 Medical Center Dr
Ste 102
Wilmington, NC 28401
Phone (910) 452-3666

Organizations & group practices 1

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": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1467252247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6403 OLD FORT RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284114772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 MEDICAL CENTER DR STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014250",
            "telephone_number": "910-452-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWS",
        "first_name": "KAITLIN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NC",
            "license": "F0325036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "KOROSCHETZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.