Individual provider Active NPI

Karen Hartman Self, FNP-C

  • Family Nurse Practitioner
  • Conover, NC
National Provider Identifier
1952775249
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
176758 Issued in NC
Practice address
1224 Commerce St SW Ste a
Conover, NC 28613-8245
Phone
(828) 261-0467
Fax
(828) 261-0599
NPI assigned
Nov 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 176758 NC Primary

Addresses

Primary practice location

1224 Commerce St SW Ste a
Conover, NC 28613-8245

Mailing address

1224 Commerce St SW Ste a
Conover, NC 28613-8245
Phone (828) 261-0467

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
I20160415001991 NC Practitioner - Nurse Practitioner 9931407400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

9336 Blakeney Centre Dr
Charlotte, NC 28277-6666
Phone (704) 862-4700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176758NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of North Carolina, PLLC Current Accepting new patients
American Anesthesiology of North Carolina, PLLC CurrentSince Jul 25, 2016 Accepting new patients
American Anesthesiology of North Carolina, PLLC CurrentSince Jul 25, 2016 Accepting new patients
East Carolina Anesthesia Associates, PLLC CurrentSince Dec 29, 2025 Accepting new patients
Carolina Pain and Weight Loss, PA Family Past Accepting new patients
Iredell Physician Network LLC Past Accepting new patients
Carolina Specialty Care, PA Past Accepting new patients

Locations

927 East Blvd
Charlotte, NC 28203
Phone (704) 348-1855

9336 Blakeney Centre Dr
Charlotte, NC 28277
Phone (704) 759-8210

9336 Blakeney Centre Dr
Ste 100B
Charlotte, NC 28277
Phone (704) 759-1770

2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108

502 W King St
Ste 100
Kings Mtn, NC 28086
Phone (704) 734-0576

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

Interoperability endpoints

  • Direct secure messaging: karen.self.p1@direct.carolinaspecialty.nextgenshare.com

Organizations & group practices 7

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": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1952775249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 COMMERCE ST SW STE A",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138245",
            "telephone_number": "828-261-0467",
            "fax_number": "828-261-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 COMMERCE ST SW STE A",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138245",
            "telephone_number": "828-261-0467",
            "fax_number": "828-261-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "KAREN",
        "middle_name": "HARTMAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "176758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

Verify at the official NPI Registry.