Individual provider Active NPI

Kylie Nesta Hoover, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1669210589
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5020739 Issued in NC
Practice address
3801 Barrett Dr
Raleigh, NC 27609-7224
Phone
(919) 870-8409
Fax
(877) 622-8953
NPI assigned
Jul 16, 2024
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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 Registered Nurse 163WP0808X RN713740 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5020739 NC Primary

Addresses

Primary practice location

3801 Barrett Dr
Raleigh, NC 27609-7224

Mailing address

3801 Barrett Dr
Raleigh, NC 27609-7224
Phone (919) 870-8409

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
I20251119000342 NC Practitioner - Nurse Practitioner 7719478601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1717 Main St
Suite 5850
Dallas, TX 75201-4681

1717 Main St
Suite 5850
Dallas, TX 75201-7317

2616 Erwin Rd
Apt 2216
Durham, NC 27705-3820

3801 Barrett Dr
Raleigh, NC 27609-7169

6112 Saint Giles St
Raleigh, NC 27612-7043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN713740PAMDPsychiatric/Mental Health Registered Nurse
5020739NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mona R Gupta, DO Incorporated CurrentSince Nov 14, 2025 Accepting new patients
Mona R Gupta, DO Incorporated CurrentSince Dec 14, 2025 Accepting new patients
Advaita Integrated Medicine PLLC CurrentSince Nov 8, 2025 Accepting new patients
Forefront-Matteson Medical Services PC CurrentSince Oct 4, 2025 Accepting new patients

Locations

510 W Williams St
Apex, NC 27502

2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217

8838 US Highway 70 W
Ste 700
Clayton, NC 27520
Phone (919) 553-5505

5518 NC Highway 55
Durham, NC 27713

2211 W Meadowview Rd
Ste 150
Greensboro, NC 27407

116 Gasoline Aly
Ste 105
Mooresville, NC 28117

3801 Barrett Dr
Raleigh, NC 27609
Phone (703) 999-4182

4904 Professional Ct
Raleigh, NC 27609
Phone (919) 893-4465

6112 Saint Giles St
Raleigh, NC 27612
Phone (919) 782-3870

6124 Saint Giles St
Raleigh, NC 27612
Phone (919) 893-4465

8304 Creedmoor Rd
Raleigh, NC 27613
Phone (919) 870-7645

Organizations & group practices 4

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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1669210589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097224",
            "telephone_number": "919-870-8409",
            "fax_number": "877-622-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097224",
            "telephone_number": "919-870-8409",
            "fax_number": "877-622-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "KYLIE",
        "middle_name": "NESTA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN713740",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5020739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.