Active NPI
Dana Kouchel, AGPCNP-BC, DNP, RN
- Adult Health Nurse Practitioner
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 259317
- Practice address
- 4420 Lake Boone TRL
Raleigh, NC 27607-7505 - Phone
- (919) 364-3312
- NPI assigned
- Apr 3, 2018
- Last updated
- Apr 8, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 259317 | NC | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 259317 | NC |
Addresses
Primary practice location
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Mailing address
4022 Stirrup Creek Dr Ste 315
Durham, NC 27703-8999
Phone (919) 425-3000
Other practice location 1
4022 Stirrup Creek Dr Ste 315
Durham, NC 27703-8999
Phone (919) 425-3000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dkouchel14214@direct.UNC.nchie.net | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000
1830 Fordham Blvd
Suite 100
Chapel Hill, NC 27514-2301
Phone (919) 364-3312
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259317 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina MG, LLC | Current | Accepting new patients | |
| University of North Carolina at Chapel Hill | Current | Accepting new patients | |
| Voans Senior Community Care of North Carolina, Inc. | Past | Accepting new patients | |
| Geriatric Neuropsychiatry Services, PLLC | Past | Accepting new patients |
Locations
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
1830 Fordham Blvd
Ste 100
Chapel Hill, NC 27514
Phone (919) 364-3312
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
Organizations & group practices 5
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.
-
dba UNC Health North Carolina Heart and Vascular
- Hospitalist Physician
- Raleigh, NC
- NPI 1215741640
-
dba UNC Faculty Physicians
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
-
dba UNC Interventional Cardiology Services
- Interventional Cardiology Physician
- Chapel Hill, NC
- NPI 1568070308
-
- Geriatric Medicine (Internal Medicine) Physician
- Durham, NC
- NPI 1144533944
-
dba PACE North Carolina
- PACE Provider Organization
- Durham, NC
- NPI 1063767853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1922504448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4022 STIRRUP CREEK DR STE 315",
"city": "DURHAM",
"state": "NC",
"postal_code": "277038999",
"telephone_number": "919-425-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 LAKE BOONE TRL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077505",
"telephone_number": "919-364-3312"
}
],
"practiceLocations": [
{
"address_1": "4022 Stirrup Creek Dr Ste 315",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277038999",
"country_code": "US",
"telephone_number": "919-425-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOUCHEL",
"first_name": "DANA",
"credential": "AGPCNP-BC, DNP, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-03",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "259317",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "259317",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dkouchel14214@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "cda/ccd/txt",
"address_1": "4420 Lake Boone Trl",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276077505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Apr 8, 2022; 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.