Individual provider Active NPI

Kacie B Stancil, NP

  • Family Nurse Practitioner
  • Albemarle, NC
National Provider Identifier
1497226252
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011264 Issued in NC
Practice address
1007 N 6TH St
Albemarle, NC 28001-3551
Phone
(704) 982-8410
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5011264 NC Primary

Addresses

Primary practice location

1007 N 6TH St
Albemarle, NC 28001-3551

Mailing address

360 Sunset Ave
Asheboro, NC 27203-5612
Phone (336) 625-8410

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
I20190220002055 NC Practitioner - Nurse Practitioner 5890033625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TLK Dermatology PLLCGroup PAC ID 6608313440, 16 clinicians

Practice addresses (Care Compare)

1007 N 6TH St
Albemarle, NC 28001-3551
Phone (704) 982-9410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5011264NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TLK Dermatology PLLC Dermatology CurrentSince Sep 1, 2024 Accepting new patients
James Todd Williams MD Dermatology CurrentSince Jan 1, 2019 Accepting new patients

Locations

1007 N 6th St
Albemarle, NC 28001
Phone (336) 625-8410

360 Sunset Ave
Asheboro, NC 27203
Phone (336) 625-8410

1650 Liberty Dr
Ste 100
Thomasville, NC 27360
Phone (336) 475-8410

145 W Plaza Dr
Ste K
West End, NC 27376
Phone (910) 673-8410

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 and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1497226252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SUNSET AVE",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035612",
            "telephone_number": "336-625-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N 6TH ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013551",
            "telephone_number": "704-982-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCIL",
        "first_name": "KACIE",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.