Individual provider Active NPI

Judith Kraus Gais, FNP

  • Family Nurse Practitioner
  • Concord, NC
National Provider Identifier
1780651612
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201131 Issued in NC
Practice address
707 Memorial Blvd
Concord, NC 28025-2975
Phone
(704) 403-7050
NPI assigned
Feb 28, 2006
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201131 NC
Family Nurse Practitioner 363LF0000X 201131 NC Primary

Addresses

Primary practice location

707 Memorial Blvd
Concord, NC 28025-2975

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

201 Dale Earnhardt Blvd
Ste 200
Kannapolis, NC 28081-0308
Phone (704) 932-1155

Other practice location 2

10030 Edison Square Dr NW
Ste 100
Concord, NC 28027-8308
Phone (704) 403-7830

Other practice location 3

1085 NE Gateway Ct NE
Ste 200
Concord, NC 28025-2406
Phone (704) 403-8650

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jgais136863@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

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
I20041201000174 NC Practitioner - Nurse Practitioner 8022073022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201131NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 1, 2014 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 16, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 16, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 1, 2014 Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

10030 Edison Square Dr NW
Ste 100
Concord, NC 28027
Phone (704) 403-7830

1085 NE Gateway Ct NE
Ste 200
Concord, NC 28025
Phone (704) 260-8650

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

707 Memorial Blvd
Concord, NC 28025
Phone (704) 403-7050

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

9726 Sam Furr Rd
Huntersville, NC 28078
Phone (704) 801-3310

201 Dale Earnhardt Blvd
Ste 200
Kannapolis, NC 28081
Phone (704) 403-7300

8560 Cook St
Mt Pleasant, NC 28124
Phone (704) 403-1911

Interoperability endpoints

  • Direct secure messaging: jgais136863@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: judithgais@imhi.allscriptsdirect.net

Organizations & group practices 6

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1780651612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 MEMORIAL BLVD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252975",
            "telephone_number": "704-403-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Dale Earnhardt Blvd",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kannapolis",
            "state": "NC",
            "postal_code": "280810308",
            "country_code": "US",
            "telephone_number": "704-932-1155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10030 Edison Square Dr NW",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280278308",
            "country_code": "US",
            "telephone_number": "704-403-7830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1085 NE Gateway Ct NE",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252406",
            "country_code": "US",
            "telephone_number": "704-403-8650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAIS",
        "first_name": "JUDITH",
        "middle_name": "KRAUS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201131",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgais136863@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "707 Memorial Blvd",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280252975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.