NPIMap

Individual provider Active NPI

Kristen Ashley McGinness, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fayetteville, NC
National Provider Identifier
1649566092
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
739 Issued in NC
Practice address
1645 Owen Dr
Fayetteville, NC 28304-3425
Phone
(910) 615-3668
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot Surgery Podiatrist 213ES0131X 739 NC
Primary Podiatric Medicine Podiatrist 213EP1101X 739 NC
Foot & Ankle Surgery Podiatrist 213ES0103X 739 NC Primary
Podiatrist 213E00000X 000910 CT
Primary Podiatric Medicine Podiatrist 213EP1101X 27672 NC

Addresses

Primary practice location

1645 Owen Dr
Fayetteville, NC 28304-3425

Mailing address

267 Grant St
Bridgeport, CT 06610-2805

Other practice location 1

501 S Poplar St
Elizabethtown, NC 28337-9375
Phone (910) 862-5100

Other practice location 2

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000

Other practice location 3

101 Robeson St Ste 210
Fayetteville, NC 28301-5520
Phone (910) 615-1826

Other practice location 4

1738 Metromedical Dr
Fayetteville, NC 28304-3861
Phone (910) 484-4191

Other practice location 5

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-1826

Other practice location 6

150 Robeson St
Fayetteville, NC 28301-5570
Phone (910) 615-1000

Other practice location 7

300 E McKay St Ste E
Elizabethtown, NC 28337-9037
Phone (910) 737-6600

Other practice location 8

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, NC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140811000437 CT Practitioner - Podiatry 8022235316 Reassigns benefits to 1 organization
I20190206001761 NY Practitioner - Podiatry 8022235316 Reassigns benefits to 1 organization
I20200324003318 NC Practitioner - Podiatry 8022235316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1645 Owen Dr
Fayetteville, NC 28304-3425
Phone (910) 615-3668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue85
Removal of skin lesions1-10
Removal of nail tissue118
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000910CTMDMarriage & Family Therapist
27672NCMDPharmacist
739NCMDPrimary Podiatric Medicine Podiatrist
006920NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Feb 3, 2020 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Northeast Medical Group, PLLC CurrentSince Oct 30, 2018 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Feb 3, 2020 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Mar 15, 2025 Accepting new patients
Northeast Medical Group, Inc. Foot & Ankle Surgery CurrentSince Jun 30, 2014 Accepting new patients
Cape Fear Valley Health Medical Group LLC Podiatrist CurrentSince Mar 15, 2025 Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

300 E McKay St
#E
Elizabethtown, NC 28337
Phone (910) 737-6600

1645 Owen Dr
Fayetteville, NC 28304
Phone (910) 486-4486

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1738 Metromedical Dr
Fayetteville, NC 28304
Phone (910) 484-4191

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

101 Robeson St
Ste 210
Fayetteville, NC 28301
Phone (910) 615-1825

101 Theall Rd
Rye, NY 10580
Phone (516) 536-0800

18 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 253-9252

Interoperability endpoints

  • Direct secure messaging: kmcginness76694@capefearvalley.direct-ci.com

Organizations & group practices 8

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1649566092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 GRANT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043425",
            "telephone_number": "910-615-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Poplar St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379375",
            "country_code": "US",
            "telephone_number": "910-862-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Medical Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283769111",
            "country_code": "US",
            "telephone_number": "910-904-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Robeson St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283015520",
            "country_code": "US",
            "telephone_number": "910-615-1826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1738 Metromedical Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043861",
            "country_code": "US",
            "telephone_number": "910-484-4191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-1826",
            "fax_number": "910-321-6293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Robeson St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283015570",
            "country_code": "US",
            "telephone_number": "910-615-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E McKay St Ste E",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379037",
            "country_code": "US",
            "telephone_number": "910-737-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "267 Grant St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066102805",
            "country_code": "US",
            "telephone_number": "203-384-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGINNESS",
        "first_name": "KRISTEN",
        "middle_name": "ASHLEY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "739",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "739",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "739",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000910",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "27672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.