Individual provider Active NPI

Karen Rohde, PA

  • Physician Assistant
  • Mooresville, NC
National Provider Identifier
1821005356
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102477 Issued in NC
Practice address
119 Market Place Ave Ste D
Mooresville, NC 28117-9157
Phone
(704) 631-0002
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 102477 NC Primary

Addresses

Primary practice location

119 Market Place Ave Ste D
Mooresville, NC 28117-9157

Mailing address

PO Box 602148
Charlotte, NC 28260-2148
Phone (704) 631-0002

Other identifiers 1

IdentifierTypeStateIssuer
1821005356MedicaidNC

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
I20100125000310 NC Practitioner - Physician Assistant 5991847246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Norman Pulmonary and Sleep, PAGroup PAC ID 5092798314, 4 clinicians

Practice addresses (Care Compare)

1073 13TH St SE
Hickory, NC 28602-4165
Phone (704) 660-4094

123 Professional Park Dr
Suite 200
Mooresville, NC 28117-5519
Phone (704) 660-4094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
102477NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Norman Pulmonary & Sleep, PA CurrentSince Oct 20, 2025 Accepting new patients
Emergency Medicine Physicians of Iredell County, PLLC Past Accepting new patients
Internal Medicine Specialist, PA Past Accepting new patients

Locations

123 Professional Park Dr
Ste 200
Mooresville, NC 28117
Phone (423) 343-7016

Interoperability endpoints

  • Direct secure messaging: krohde1726380@direct.novanthealth.org

Organizations & group practices 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1821005356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602148",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602148",
            "telephone_number": "704-631-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MARKET PLACE AVE STE D",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179157",
            "telephone_number": "704-631-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHDE",
        "first_name": "KAREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821005356",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.