Kyley Jennifer Caldwell
Individual provider Active NPI Family Nurse Practitioner · Broadway, NC
NPI 1760146476 · NPPES record last updated Apr 11, 2023
Key facts
- NPI
- 1760146476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5015281 (NC)
- Practice address
- 101 Church St
Broadway, NC 27505-9394 - Phone
- (919) 258-6521
- Fax
- (919) 258-5368
- NPI assigned
- Oct 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DLP Central Carolina Medical Group LLC
Practice addresses (Care Compare)
1125 Carthage St
Sanford, NC 27330-4162
Phone (919) 774-6023
Hospital & facility affiliations
- Central Carolina Hospital
- Firsthealth Moore Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220120000037 | NC | Practitioner - Nurse Practitioner | 5991197154 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5015281 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Central Carolina Medical Group LLC | Current | Accepting new patients | |
| DLP Central Carolina Medical Group LLC | Current |
Accepting new patients | |
| DLP Central Carolina Medical Group LLC | Current |
Accepting new patients | |
| DLP Central Carolina Medical Group LLC | Past | Accepting new patients |
Locations
101 Church St
Broadway, NC 27505
Phone (919) 258-6521
75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731
1125 Carthage St
Sanford, NC 27330
Phone (919) 774-6023
4546 NC 87 S
Sanford, NC 27332
Phone (919) 499-5151
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- kyley.caldwell.1@15593.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5015281 | NC | Yes |
Addresses
Primary practice location
101 Church St
Broadway, NC 27505-9394
Mailing address
1125 Carthage St
Sanford, NC 27330-4162
Phone (910) 774-6023
Other providers in Broadway, NC
- Between Blooms Counseling PLLC
- Renessa Danielle Carthens
- Sally J Chapin
- Stephen H Cox
- McKenzie Leigh Daugherty
- Samantha Hope Dial
All providers in Broadway, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.