Individual provider Active NPI

Kevin Edelen, NP

  • Family Nurse Practitioner
  • Durham, NC
National Provider Identifier
1780155291
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011419 Issued in NC
Practice address
5102 N Roxboro St
Durham, NC 27704-1420
Phone
(919) 680-1045
NPI assigned
Dec 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5011419 NC Primary

Addresses

Primary practice location

5102 N Roxboro St
Durham, NC 27704-1420

Mailing address

5213 S Alston Ave
Durham, NC 27713-4430
Phone (919) 620-4855

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
I20190801000801 NC Practitioner - Nurse Practitioner 0244566941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10950 Chapel Hill Rd
B
Morrisville, NC 27560-8852
Phone (919) 327-1630

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5011419NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Sep 14, 2021 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Sep 14, 2021 Accepting new patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Past Accepting new patients
Cloud Health Medical Group of California, P.C. Family Medicine Past Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine PastSince Sep 14, 2021 Accepting new patients

Locations

201 Sage Rd
Ste 300
Chapel Hill, NC 27514
Phone (919) 385-2030

5102 N Roxboro St
Durham, NC 27704
Phone (919) 613-3115

234 Crooked Creek Pkwy
Ste 200
Durham, NC 27713
Phone (919) 213-6631

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

4220 N Roxboro St
Durham, NC 27704
Phone (919) 471-1518

10950 Chapel Hill Rd
#B
Morrisville, NC 27560
Phone (919) 327-1630

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

Interoperability endpoints

  • Direct secure messaging: kedelen108448@direct.medicine.duke.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1780155291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 S ALSTON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134430",
            "telephone_number": "919-620-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041420",
            "telephone_number": "919-680-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELEN",
        "first_name": "KEVIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-10",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.