Active NPI
Kaitlyn Marie Hurst, M.D.
- Orthopaedic Surgery Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2022-00463
- Practice address
- 12611 N Community House Rd Ste 100
Charlotte, NC 28277-3817 - Phone
- (704) 316-3410
- NPI assigned
- Jun 20, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0101271603 | VA | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 0101271603 | VA | |
| Orthopaedic Surgery Physician | 207X00000X | 2022-00463 | NC | Primary |
Addresses
Primary practice location
12611 N Community House Rd Ste 100
Charlotte, NC 28277-3817
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
2922 Telestar Ct
Falls Church, VA 22042-1206
Phone (703) 584-2040
Other practice location 2
1120 W Michigan St
Suite 600
Indianapolis, IN 46202-5209
Phone (317) 278-5835
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
4741 Randolph Rd
Suite 100And200
Charlotte, NC 28211-2919
Phone (704) 365-6730
8110 Healthcare Loop
Charlotte, NC 28215-7069
Phone (704) 316-2310
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
12611 N Community House Rd
Ste 100
Charlotte, NC 28277
Phone (704) 316-3410
10905 Providence Rd W
Ste 270
Charlotte, NC 28277
Phone (704) 316-3410
8110 Healthcare Loop
Charlotte, NC 28215
Phone (704) 316-2312
4741 Randolph Rd
Ste 100200
Charlotte, NC 28211
Phone (704) 365-6730
4741 Randolph Rd
#100
Charlotte, NC 28211
Phone (704) 365-6730
16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725
1450 Matthews Township Pkwy
Ste 170
Matthews, NC 28105
Phone (704) 384-6020
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- khurst193710@direct.novanthealth.org
Organizations & group practices 6
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1356872931
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1558084772
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1740998020
-
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1518317668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12611 N COMMUNITY HOUSE RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773817",
"telephone_number": "704-316-3410"
}
],
"practiceLocations": [
{
"address_1": "2922 Telestar Ct",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220421206",
"country_code": "US",
"telephone_number": "703-584-2040",
"fax_number": "703-560-7218",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1120 W Michigan St",
"address_2": "Suite 600",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025209",
"country_code": "US",
"telephone_number": "317-278-5835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HURST",
"first_name": "KAITLYN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101271603",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "VA",
"license": "0101271603",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "2022-00463",
"primary": true
}
],
"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 Sep 16, 2022; 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.