Active NPI
Kerryann Fogarty, APRN,FNP-C
- Family Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5011261
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024176494 | VA | MD | Nurse Practitioner |
| 3-001755 | AL | MD | Family Nurse Practitioner |
| TPAN2278 | FL | MD | Family Nurse Practitioner |
| 0037006 | OH | MD | Family Nurse Practitioner |
| 1153884 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devoted Medical NC PC | Current | Accepting new patients | |
| Chesapeake Regional Medical Group | Family | Current | Accepting new patients |
| Chesapeake Regional Medical Group | Current | Accepting new patients | |
| Devoted Medical Group of Texas Inc | Current | Accepting new patients | |
| Capital Digestive Care ,LLC | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Zirconia, NC
- NPI 1295443554
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1992752521
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1982202800
-
- Gastroenterology Physician
- Suffolk, VA
- NPI 1760541460
-
- Urgent Care Clinic/Center
- Chesapeake, VA
- NPI 1255215133
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.