NPIMap

Individual provider Active NPI

Kathryn Anne Fraccola, DNP-FNP

  • Family Nurse Practitioner
  • Forest City, NC
National Provider Identifier
1669193132
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022056510 Issued in NC
Practice address
181 Daniel Rd
Forest City, NC 28043-7151
Phone
(828) 286-9036
NPI assigned
Sep 5, 2022
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 2022056510 NC Primary

Addresses

Primary practice location

181 Daniel Rd
Forest City, NC 28043-7151

Mailing address

181 Daniel Rd
Forest City, NC 28043-7151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221110002325 NC Practitioner - Nurse Practitioner 3971970534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Gastonia Physician Services PLLCGroup PAC ID 3870719602, 66 clinicians

Practice addresses (Care Compare)

181 Daniel Rd a
Forest City, NC 28043-7151
Phone (828) 287-9504

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.82 of 100Reported as group
Quality
84.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022056510NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastonia Physician Services, PLLC CurrentSince Mar 11, 2024 Accepting new patients
Gastonia Physician Services, PLLC CurrentSince Mar 11, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Nov 14, 2022 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Arboretum Urgent Care Center Family Medicine CurrentSince Nov 14, 2022 Accepting new patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Nov 14, 2022 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150

9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700

181 Daniel Rd
Forest City, NC 28043
Phone (828) 286-9036

181 Daniel Rd
Ste A
Forest City, NC 28043
Phone (828) 287-5904

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

451 E Charlotte Ave
Mt Holly, NC 28120
Phone (980) 834-2266

Interoperability endpoints

  • Direct secure messaging: kfraccola247085@carolinashealthcaresystem.direct-ci.com

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

Hospital & facility affiliations 6

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": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1669193132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 DANIEL RD",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280437151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 DANIEL RD",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280437151",
            "telephone_number": "828-286-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRACCOLA",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "2022056510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

Verify at the official NPI Registry.