Joseph Christian Koelling, AGNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

5016592 Issued in NC

Practice address

901 Ridge Rd
Roxboro, NC 27573-4511

Phone

(919) 357-7101

NPI assigned

Mar 30, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Eventus Wholehealth PLLCGroup PAC ID 6002169539, 301 clinicians

Eventus WH Southeast, LLCGroup PAC ID 5496294456, 241 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suncrest Home Health Home health agency, Durham, NC, CCN 347011
• Gentiva Health Services Home health agency, Hickory, NC, CCN 347300
• Bayada Home Health Care, Inc. Home health agency, Raleigh, NC, CCN 347243
• Amedisys Home Health Home health agency, Durham, NC, CCN 347110
• Transitions Lifecare Hospice, Raleigh, NC, CCN 341523
• Carolina Caring Hospice, Newton, NC, CCN 341535

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Eventus WH Southeast, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Charlotte, NC
  • NPI 1487494811
  Medicare reassignment Care Compare group NPD
• Eventus Wholehealth, PLLC

  • Family Medicine Physician
  • Concord, NC
  • NPI 1548759392

  Adult Health

  Medicare reassignment Care Compare group NPD
• Eventus Value Care, LLC

  • Family Medicine Physician
  • Concord, NC
  • NPI 1013680503
  Medicare reassignment NPD
• Eventus Wholehealth Aco LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Concord, NC
  • NPI 1023796307
  Medicare reassignment NPD
• Hni Medical Services of North Carolina, PC

  • Hospitalist Physician
  • Durham, NC
  • NPI 1992464002
  Medicare reassignment NPD
• Eventus WH PLLC Care, LLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1639990658
  NPD

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

• Amedisys North Carolina, LLC

  • Home Health Agency
  • Durham, NC
  • NPI 1083669873
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Raleigh, NC
  • NPI 1285876250
  Care Compare affiliation
• Carolina Caring, Inc.

  • Community Based Hospice Care Agency
  • Newton, NC
  • NPI 1801893151
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Hickory, NC
  • NPI 1316974272
  Care Compare affiliation
• Hospice of Wake County, Inc.

  • Community Based Hospice Care Agency
  • Raleigh, NC
  • NPI 1518974609
  Care Compare affiliation
• Innovative Senior Care Home Health of Durham LLC

  • Home Health Agency
  • Durham, NC
  • NPI 1841505724
  Care Compare affiliation

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1689314478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 ARNETTE AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013109",
            "telephone_number": "505-331-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIDGE RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734511",
            "telephone_number": "919-357-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 Arnette Ave",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277013109",
            "country_code": "US",
            "telephone_number": "193-577-1019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOELLING",
        "first_name": "JOSEPH",
        "middle_name": "CHRISTIAN",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "KOEL-9TZ",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5016592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Leigh Ketner, FNP
• Sylvia Kilgore, PT
• Catherine Kilonzo, FNP
• Jasmine King, PHARMD
• Russell Knop
• David Kozak, MSW, LCSW-A
• Judith Kramer
• Krram-Z,LLC
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings

• Primary Care Nurse Practitioner in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.