Carol Anne Rupe, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36420 Issued in NC

Practice address

40 Anna Louise LN
Roanoke Rapids, NC 27870-8648

Phone

(252) 917-8410

Fax

(252) 541-2763

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2021 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Wellcraft Health PLLC

  • Family Medicine Physician
  • Roanoke Rapids, NC
  • NPI 1164289294
  NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1619044955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CROSS PT",
            "city": "LITTLETON",
            "state": "NC",
            "postal_code": "278509457",
            "telephone_number": "252-204-4259",
            "fax_number": "252-541-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ANNA LOUISE LN",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278708648",
            "telephone_number": "252-917-8410",
            "fax_number": "252-541-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPE",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "36420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013UN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roanoke Valley Surgical Assoc
• Kenneth Robert, MD
• Kayla Ernestine Roberts, DNP, AGPCNP-BC
• Morgan Robinson
• Kesha Lashawn Rooks, DNP, RN
• Rural Health Group, Inc. (Rural Health Group Family and Women's Health)
• Rural Health Group, Inc. (Rural Health Group at Roanoke Rapids/Pediatrics)
• Rural Health Group, Inc. (Rural Health Group at Halifax Regional Medical Center)
• Rural Health Group, Inc.
• Rural Health Group, Inc. (Rural Health Group at Roanoke Rapids/Dental)

• Family Medicine Physician in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.