Individual provider Active NPI

Kerryann Fogarty, APRN,FNP-C

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1477032332
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011261 Issued in NC
Practice address
525 N Tryon St
Charlotte, NC 28202-0202
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Aug 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024176494 VA
Family Nurse Practitioner 363LF0000X 0024176494 VA
Family Nurse Practitioner 363LF0000X 1153884 TX
Family Nurse Practitioner 363LF0000X TPAN2278 FL
Family Nurse Practitioner 363LF0000X 0037006 OH
Family Nurse Practitioner 363LF0000X 3-001755 AL
Family Nurse Practitioner 363LF0000X 5011261 NC Primary
Family Nurse Practitioner 363LF0000X GAA-NP005290 GA

Addresses

Primary practice location

525 N Tryon St
Charlotte, NC 28202-0202

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

1138 N Road St
Elizabeth City, NC 27909-3353
Phone (252) 334-1602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, TX, AL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20181203003392 VA Practitioner - Nurse Practitioner 7517201478 Reassigns benefits to 1 organization
I20190610000706 NC Practitioner - Nurse Practitioner 7517201478 Reassigns benefits to 2 organizations
I20240403001791 TX Practitioner - Nurse Practitioner 7517201478 Reassigns benefits to 1 organization
I20240531000723 AL Practitioner - Nurse Practitioner 7517201478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024176494VAMDNurse Practitioner
3-001755ALMDFamily Nurse Practitioner
TPAN2278FLMDFamily Nurse Practitioner
0037006OHMDFamily Nurse Practitioner
1153884TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Medical NC PC CurrentSince May 22, 2024 Accepting new patients
Chesapeake Regional Medical Group Family CurrentSince Mar 1, 2019 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Mar 1, 2019 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Mar 14, 2024 Accepting new patients
Capital Digestive Care ,LLC CurrentSince Jan 21, 2022 Accepting new patients
Capital Digestive Care ,LLC Current Accepting new patients

Locations

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

10770 Columbia Pike
Ste 400
Silver Spring, MD 20901
Phone (215) 589-9012

1138 N Road St
Elizabeth Cty, NC 27909
Phone (252) 335-4890

534 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-6621

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

113 Gainsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 436-3285

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

1925 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456
Phone (757) 464-1644

Interoperability endpoints

  • Direct secure messaging: kfogarty460902@direct.sentara.net

Organizations & group practices 7

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": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1477032332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282020202",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1138 N Road St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279093353",
            "country_code": "US",
            "telephone_number": "252-334-1602",
            "fax_number": "252-334-1604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGARTY",
        "first_name": "KERRYANN",
        "credential": "APRN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-11",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024176494",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176494",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1153884",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "TPAN2278",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0037006",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-001755",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011261",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP005290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.