Karis Annette Van Althuis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001004027 Issued in NC

Practice address

9101 Ocean Hwy E
Leland, NC 28451-7867

Phone

(910) 371-0404

Fax

(910) 371-1005

NPI assigned

Jan 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• J Arthur Dosher Memorial Hospital Hospital, Southport, NC, CCN 341327
• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kvanalthuis664784@direct.novanthealth.org
• Direct secure messaging: karis.vanathuis.p1@direct.wilmingtonhealth.nextgenshare.com

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.

• Wilmington Health PLLC

  • Multi-Specialty Clinic/Center
  • Wilmington, NC
  • NPI 1881632339
  Medicare reassignment Care Compare group NPD
• Wha Medical Clinic PLLC

  • Endoscopy Clinic/Center
  • Wilmington, NC
  • NPI 1083889091
  NPD
• Wilmington ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Wilmington, NC
  • NPI 1548456478
  NPD

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

• J Arthur Dosher Memorial Hospital

  • Rural Health Clinic/Center
  • Southport, NC
  • NPI 1326589649

  Hospital

  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  • Rural Health Clinic/Center
  • Oak Island, NC
  • NPI 1235405358

  Hospital

  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  • General Practice Physician
  • Bald Head Island, NC
  • NPI 1376961219

  Hospital

  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  • Critical Access Hospital
  • Southport, NC
  • NPI 1538260229
  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  • Rural Health Clinic/Center
  • Southport, NC
  • NPI 1568887818

  Hospital

  Care Compare affiliation
• Novant Health New Hanover Regional Medical Center LLC

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1972841518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 OCEAN HWY E",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517867",
            "telephone_number": "910-371-0404",
            "fax_number": "910-371-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 OCEAN HWY E",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517867",
            "telephone_number": "910-371-0404",
            "fax_number": "910-371-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Neuse Blvd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285603449",
            "country_code": "US",
            "telephone_number": "252-633-8119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5145 Sellers Rd",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "28470",
            "country_code": "US",
            "telephone_number": "910-754-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN ALTHUIS",
        "first_name": "KARIS",
        "middle_name": "ANNETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001004027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kvanalthuis664784@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2000 Neuse Blvd",
            "city": "New Bern",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285603449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Trinity Elite Delivery LLC
• Jonathan Tucker
• Melanie Tome Ujlaky, DNP, PMHNP-BC
• Urgent Cares of America North Carolina Inc
• Barbara Uzzell
• Yeslinel Velez Fadul, MD
• Yves Christian Verdieu, PA-C
• Gloria Vreeland, M.D.
• David Vurnakes, D.M.D.
• Fransha' Wagner

• Physician Assistant in Leland, NC
• Providers in Leland, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.