Individual provider Active NPI

Carolyn Ann Berlin, NP

  • Nurse Practitioner
  • Cary, NC
National Provider Identifier
1790249605
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011366 Issued in NC
Practice address
3600 Northwest Cary Pkwy. Suite 104
Cary, NC 27513
Phone
(919) 319-9219
Fax
(919) 481-1716
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011366 NC Primary

Addresses

Primary practice location

3600 Northwest Cary Pkwy. Suite 104
Cary, NC 27513

Mailing address

3600 Northwest Cary Pkwy. Suite 104
Cary, NC 27513
Phone (919) 319-9219

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
I20190326001380 NC Practitioner - Nurse Practitioner 6406196682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cary Healthcare Associates, P.a.Group PAC ID 2062483225, 9 clinicians

Practice addresses (Care Compare)

301 Ashville Ave
Suite 111
Cary, NC 27518-6131
Phone (919) 233-6000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Healthcare Associates, P.a. CurrentSince Jan 1, 2023 Accepting new patients

Locations

301 Ashville Ave
Ste 111
Cary, NC 27518
Phone (919) 233-6000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1790249605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 NORTHWEST CARY PKWY. SUITE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-319-9219",
            "fax_number": "919-481-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NORTHWEST CARY PKWY. SUITE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-319-9219",
            "fax_number": "919-481-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.