Christian Randolph Koerner, CNS-AG

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

547 Issued in NC

Practice address

7940 Sumter Ridge LN Apt 5110
Raleigh, NC 27617-6734

Phone

(910) 805-0306

NPI assigned

Aug 24, 2019

Last updated

Jul 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Koerner Health, PLLC

  • Nursing Care Agency
  • Raleigh, NC
  • NPI 1174249239
  Medicare reassignment NPD Authorized official
• Grace Hospice of New Orleans LLC

  • Community Based Hospice Care Agency
  • Thibodaux, LA
  • NPI 1093768749
  NPD (past)

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1750938635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 SUMTER RIDGE LN APT 5110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276176734",
            "telephone_number": "919-400-5011",
            "fax_number": "919-400-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 SUMTER RIDGE LN APT 5110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276176734",
            "telephone_number": "910-805-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERNER",
        "first_name": "CHRISTIAN",
        "middle_name": "RANDOLPH",
        "credential": "CNS-AG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-24",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NC",
            "license": "547",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "303322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Frederick Koeleveld, MD
• Daniel William Koenig, M.D.
• Travis Koenig, RD
• Diana L. Koenning, LDN, MPH
• Koerner Health, PLLC
• Tabitha W Koerner, FNP-BC
• Hannah Koffman
• Ashley Koglin
• Kenneth Richard Kohagen, MD
• Julia Kohake

• Clinical Nurse Specialist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Nurse Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.