Individual provider Active NPI

Kristen S Camplin, PNP

  • Pediatric Nurse Practitioner
  • Wake Forest, NC
National Provider Identifier
1700074606
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
005003374 Issued in NC
Practice address
11130 Capital Blvd
Wake Forest, NC 27587-4513
Phone
(919) 488-0015
Fax
(919) 488-0021
NPI assigned
Oct 5, 2007
Last updated
Jul 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 005003374 NC Primary

Addresses

Primary practice location

11130 Capital Blvd
Wake Forest, NC 27587-4513

Mailing address

260 Horizon Dr
Raleigh, NC 27615-4922
Phone (919) 488-0015

Other identifiers 2

IdentifierTypeStateIssuer
005003374OtherNCSTATE LICENSE
7004701MedicaidNC

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
I20180705001784 NC Practitioner - Nurse Practitioner 5597011502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

4709 Creekstone Dr
Suite 300
Durham, NC 27703-0016
Phone (919) 684-8111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005003374NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Growing Child Pediatrics Past Accepting new patients

Locations

500 Gateway Dr
Clayton, NC 27520
Phone (919) 488-0015

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-1300

4709 Creekstone Dr
Ste 300
Durham, NC 27703
Phone (919) 660-5066

1005 Big Oak Ct
Knightdale, NC 27545
Phone (919) 266-5669

260 Horizon Dr
Raleigh, NC 27615
Phone (919) 488-0015

270 Horizon Dr
Raleigh, NC 27615
Phone (919) 845-0623

7990 Arco Corporate Dr
Ste 110
Raleigh, NC 27617
Phone (919) 544-5900

11130 Capital Blvd
Wake Forest, NC 27587
Phone (919) 488-4094

116 E Horton St
Zebulon, NC 27597
Phone (919) 269-2885

Interoperability endpoints

  • Direct secure messaging: kcamplin400162@direct.medicine.duke.edu

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1700074606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 HORIZON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154922",
            "telephone_number": "919-488-0015",
            "fax_number": "919-277-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 CAPITAL BLVD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874513",
            "telephone_number": "919-488-0015",
            "fax_number": "919-488-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPLIN",
        "first_name": "KRISTEN",
        "middle_name": "S",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "005003374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "005003374",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004701",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.