Individual provider Active NPI

Katherine Elizabeth Stahl, DNP, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1922600113
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5017730 Issued in NC
Practice address
2417 Atrium Dr Ste 150
Raleigh, NC 27607-6673
Phone
(919) 791-2040
Fax
(919) 791-2041
NPI assigned
Nov 12, 2020
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5017730 NC Primary

Addresses

Primary practice location

2417 Atrium Dr Ste 150
Raleigh, NC 27607-6673

Mailing address

2417 Atrium Dr Ste 150
Raleigh, NC 27607-6673
Phone (919) 791-2040

Other practice location 1

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 325-1000

Other identifiers 1

IdentifierTypeStateIssuer
4704360788OtherMIREGISTERED NURSE LICENSE AND NURSE PRACTITIONER SPECIALTY CERTIFICATION

Other names 1

  • Katherine Elizabeth Hopkins Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.henryford.com Direct HENRY FORD HEALTH SYSTEM
Direct Messaging Address kstahl972356@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230416000020 NC Practitioner - Nurse Practitioner 4183036536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

4225 Macon Pond Rd
Suite 200
Raleigh, NC 27607-6320
Phone (919) 791-2040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5017730NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC CurrentSince Jun 1, 2025 Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

781 Avent Ferry Rd
Ste 204
Holly Springs, NC 27540
Phone (919) 467-3203

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

8300 Health Park
Ste 327
Raleigh, NC 27615
Phone (919) 791-2041

4225 Macon Pond Rd
Ste 200
Raleigh, NC 27607
Phone (919) 791-2041

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

2417 Atrium Dr
Ste 150
Raleigh, NC 27607
Phone (919) 791-2075

Interoperability endpoints

  • Direct secure messaging: kstahl972356@direct.unc.nchie.net
  • Direct secure messaging: kstahl704416@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1922600113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 ATRIUM DR STE 150",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076673",
            "telephone_number": "919-791-2040",
            "fax_number": "919-791-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 ATRIUM DR STE 150",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076673",
            "telephone_number": "919-791-2040",
            "fax_number": "919-791-2041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6777 W Maple Rd",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223013",
            "country_code": "US",
            "telephone_number": "248-325-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHL",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DNP, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2023-04-10",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5017730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE AND NURSE PRACTITIONER SPECIALTY CERTIFICATION",
            "identifier": "4704360788",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.henryford.com",
            "affiliation": "Y",
            "endpointDescription": "Henry Ford Health System Website",
            "affiliationName": "HENRY FORD HEALTH SYSTEM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business",
            "address_1": "6777 W Maple Rd",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kstahl972356@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2417 Atrium Dr Ste 150",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276076673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HOPKINS",
            "middle_name": "ELIZABETH",
            "credential": "MSN, BSN, RN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.