Individual provider Active NPI

Katie Elizabeth Fontaine, PA-C

  • Physician Assistant
  • Wake Forest, NC
National Provider Identifier
1902467533
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09144 Issued in NC
Practice address
3213 Rogers Rd
Wake Forest, NC 27587-3805
Phone
(919) 562-2288
NPI assigned
Jun 25, 2019
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 0010-09144 NC Primary

Addresses

Primary practice location

3213 Rogers Rd
Wake Forest, NC 27587-3805

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (919) 562-2288

Other practice location 1

515 Doctor Calvin Jones Hwy, Ste A-1
Wake Forest, NC 27587
Phone (888) 663-6631

Other practice location 2

12341 Strickland Rd Ste 102
Raleigh, NC 27613-1274
Phone (919) 865-8000

Other practice location 3

2930 Forestville Rd
Raleigh, NC 27616-8774
Phone (919) 235-6550

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
I20190916003455 NC Practitioner - Physician Assistant 8820327836 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000

1901 Hillandale Rd
Durham, NC 27705-2664

3213 Rogers Rd
Wake Forest, NC 27587-3805
Phone (919) 562-2288

515 Dr Calvin Jones Hwy
A 1
Wake Forest, NC 27587-3158
Phone (888) 663-6331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-09144NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jan 9, 2026 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 9, 2026 Accepting new patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Jan 9, 2026 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Apr 8, 2024 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Apr 8, 2024 Accepting new patients
Wake Specialty Physicians, LLC Family Medicine Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

3213 Rogers Rd
Wake Forest, NC 27587
Phone (919) 562-2288

2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: kfontaine436113@directhisp.wakemed.org

Organizations & group practices 10

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1902467533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "919-562-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 ROGERS RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873805",
            "telephone_number": "919-562-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Doctor Calvin Jones Hwy, Ste A-1",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "27587",
            "country_code": "US",
            "telephone_number": "888-663-6631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12341 Strickland Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276131274",
            "country_code": "US",
            "telephone_number": "919-865-8000",
            "fax_number": "919-865-8020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2930 Forestville Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276168774",
            "country_code": "US",
            "telephone_number": "919-235-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.