Individual provider Active NPI

Kristen Bonnie Falls, PA-C

  • Physician Assistant
  • Chapel Hill, NC
National Provider Identifier
1932446424
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2938 Issued in KY
Practice address
6330 Quadrangle Dr Ste 500
Chapel Hill, NC 27517-8281
Phone
(919) 932-5700
NPI assigned
Jan 3, 2013
Last updated
Apr 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 016242 NY
Physician Assistant 363A00000X PA2938 KY Primary

Addresses

Primary practice location

6330 Quadrangle Dr Ste 500
Chapel Hill, NC 27517-8281

Mailing address

105 Idlewood CT Unit C
Elizabethtown, KY 42701-3908
Phone (631) 624-3101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20220513000612 KY Practitioner - Physician Assistant 6103125018 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians

Practice addresses (Care Compare)

306 W Main St
Suite 512
Frankfort, KY 40601-1840
Phone (855) 743-2247

828 Lane Allen Rd
Suite 219
Lexington, KY 40504-3659
Phone (260) 483-9081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA2938KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs - Kentucky, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Eventus WH Midwest Care, LLC Physician Assistant CurrentSince Jan 3, 2026 Accepting new patients

Locations

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

Interoperability endpoints

  • Direct secure messaging: krn9015@direct.weillcornell.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1932446424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 IDLEWOOD CT UNIT C",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013908",
            "telephone_number": "631-624-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 QUADRANGLE DR STE 500",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178281",
            "telephone_number": "919-932-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLS",
        "first_name": "KRISTEN",
        "middle_name": "BONNIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016242",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.