Individual provider Active NPI

Kristina Hendley Sapel, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1467810531
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06256 Issued in NC
Practice address
4304 Park Rd
Charlotte, NC 28209-2271
Phone
(704) 272-3395
Fax
(704) 272-3396
NPI assigned
Feb 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-06256 NC
Physician Assistant 363A00000X 0010-06256 NC Primary

Addresses

Primary practice location

4304 Park Rd
Charlotte, NC 28209-2271

Mailing address

210 N Church St Unit 1803
Charlotte, NC 28202-2382
Phone (828) 442-2441

Other practice location 1

1918 Randolph Rd
Suite 550
Charlotte, NC 28207-1100
Phone (704) 375-6766

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
I20170127001702 NC Practitioner - Physician Assistant 5092097006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

4304 Park Rd
Charlotte, NC 28209-2271
Phone (704) 272-3395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-06256NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC CurrentSince Apr 23, 2022 Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients

Locations

4304 Park Rd
Charlotte, NC 28209
Phone (704) 272-3395

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

Interoperability endpoints

  • Direct secure messaging: khendley238419@direct.novanthealth.org

Organizations & group practices 3

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": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1467810531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N CHURCH ST UNIT 1803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022382",
            "telephone_number": "828-442-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092271",
            "telephone_number": "704-272-3395",
            "fax_number": "704-272-3396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1918 Randolph Rd",
            "address_2": "Suite 550",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071100",
            "country_code": "US",
            "telephone_number": "704-375-6766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAPEL",
        "first_name": "KRISTINA",
        "middle_name": "HENDLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-06256",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.