Individual provider Active NPI

Kyle Duncan, NP, MSNA, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • High Point, NC
National Provider Identifier
1659963056
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5018356 Issued in NC
Practice address
4154 Mendenhall Oaks Pkwy Ste 103
High Point, NC 27265-8426
Phone
(336) 905-8011
Fax
(336) 905-8097
NPI assigned
Feb 7, 2021
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5018356 NC Primary
Registered Nurse 163W00000X 231825 NC

Addresses

Primary practice location

4154 Mendenhall Oaks Pkwy Ste 103
High Point, NC 27265-8426

Mailing address

529 JM Penninger Rd
Lexington, NC 27292-9143
Phone (336) 423-9231

Other practice location 1

2717 Neuse Blvd
New Bern, NC 28562-2840
Phone (252) 514-9888

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
I20231005003011 NC Practitioner - Nurse Practitioner 7810342110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Second Chance Behavioral HealthGroup PAC ID 2961836408, 10 clinicians

Practice addresses (Care Compare)

2717 Neuse Blvd
New Bern, NC 28562-2840
Phone (252) 514-9888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231825NCMDRegistered Nurse
5018356NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Innovations Psychiatric/Mental Health CurrentSince Jul 15, 2023 Accepting new patients
Second Chance Behavioral Health CurrentSince Aug 28, 2024 Accepting new patients

Locations

4154 Mendenhall Oaks Pkwy
Ste 103
High Point, NC 27265
Phone (336) 847-1626

2717 Neuse Blvd
New Bern, NC 28562
Phone (252) 514-9888

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1659963056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 JM PENNINGER RD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272929143",
            "telephone_number": "336-423-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 MENDENHALL OAKS PKWY STE 103",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658426",
            "telephone_number": "336-905-8011",
            "fax_number": "336-905-8097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2717 Neuse Blvd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285622840",
            "country_code": "US",
            "telephone_number": "252-514-9888",
            "fax_number": "252-514-2881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "KYLE",
        "credential": "NP, MSNA, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-07",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5018356",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "231825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.