Active NPI
Racquel Holmes
- Nephrology Physician
- Raleigh, NC
National Provider Identifier
1801250352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 2019-00689
- Practice address
- 3700 Barrett Dr Ste 200
Raleigh, NC 27609-7172 - Phone
- (919) 231-3966
- Fax
- (919) 231-3912
- NPI assigned
- Apr 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 2019-00689 | NC | Primary |
Addresses
Primary practice location
3700 Barrett Dr Ste 200
Raleigh, NC 27609-7172
Mailing address
3700 Barrett Dr Ste 200
Raleigh, NC 27609-7172
Phone (919) 231-3966
Other practice location 1
1559 E Booker Dairy Rd Ste B
Smithfield, NC 27577-9442
Phone (919) 876-7807
Other names 1
- Racquel Wells
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ncnephrologyassociates@directaddress.net |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210706002616 | NC | Practitioner - Internal Medicine | 5799077582 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Massachusetts Medical School, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Carolina Nephrology PA
Practice addresses (Care Compare)
3700 Barrett Dr
Suite 200
Raleigh, NC 27609-7213
Phone (919) 231-3966
Hospital & facility affiliations
- Fresenius Kidney Care West Johnston
- FMC - Raleigh Dialysis Clinic Inc
- Wakemed, Raleigh Campus
- Johnston Health
- Duke University Hospital
- Rex Hospital
- Wakemed, Cary Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019-00689 | NC | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina Nephrology PA | Nephrology | Current | Accepting new patients |
| North Carolina Nephrology PA | Nephrology | Current | Accepting new patients |
Locations
3700 Barrett Dr
Ste 200
Raleigh, NC 27609
Phone 91923139662244
3031 New Bern Ave
Ste 306
Raleigh, NC 27610
Phone (919) 459-8409
1559 E Booker Dairy Rd
Ste B
Smithfield, NC 27577
2824 Rogers Rd
Ste 104
Wake Forest, NC 27587
Interoperability endpoints
- rwells427339@direct.medicine.duke.edu
- rholmes33366@direct.acumenmd.com
Organizations & group practices 2
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 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Raleigh, NC
- NPI 1689776874
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Garner, NC
- NPI 1952986689
Dialysis facility
-
- General Acute Care Hospital
- Smithfield, NC
- NPI 1619911104
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1801250352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 BARRETT DR STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097172",
"telephone_number": "919-231-3966",
"fax_number": "919-231-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 BARRETT DR STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097172",
"telephone_number": "919-231-3966",
"fax_number": "919-231-3912"
}
],
"practiceLocations": [
{
"address_1": "1559 E Booker Dairy Rd Ste B",
"address_purpose": "LOCATION",
"city": "Smithfield",
"state": "NC",
"postal_code": "275779442",
"country_code": "US",
"telephone_number": "919-876-7807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLMES",
"first_name": "RACQUEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-11",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "2019-00689",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ncnephrologyassociates@directaddress.net",
"affiliation": "N",
"address_1": "3700 Barrett Dr Ste 200",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276097172",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RACQUEL",
"last_name": "WELLS",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.