Active NPI
Kaci Dee Wolken, MD
- Internal Medicine Physician
- Clyde, NC
National Provider Identifier
1992332050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2023-02733
- Practice address
- 600 Hospital Dr
Clyde, NC 28721-8024 - Phone
- (828) 452-0331
- NPI assigned
- Mar 26, 2020
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12420124-1205 | UT | |
| Internal Medicine Physician | 207R00000X | 2023-02733 | NC | Primary |
Addresses
Primary practice location
600 Hospital Dr
Clyde, NC 28721-8024
Mailing address
191 Browning Rd
Waynesville, NC 28786-4920
Phone (402) 335-7925
Other practice location 1
30 N 1900 E # 4C116
Salt Lake City, UT 84132-0002
Phone (801) 213-1226
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230921000989 | NC | Practitioner - Internal Medicine | 8426454307 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Nebraska College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Hospital Dr
Suite 9
Clyde, NC 28721-8046
Phone (828) 452-0331
Hospital & facility affiliations
- Home Care Services of Haywood Regional Medical Center
- Haywood Regional Medical Center
- Memorial Mission Hospital and Asheville Surgery Ce
- Harris Regional Hospital
- Adventhealth Hendersonville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023-02733 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Western Carolina Physician Practices LLC | Current | Accepting new patients | |
| DLP Western Carolina Physician Practices LLC | Internal Medicine | Current | Accepting new patients |
Locations
600 Hospital Dr
Clyde, NC 28721
Phone (828) 452-0331
600 Hospital Dr
Ste 9
Clyde, NC 28721
Phone (828) 452-0331
98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- kaci.wolken.1@9865.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Sylva, NC
- NPI 1609281641
Internal Medicine, NC
-
- Diagnostic Radiology Physician
- Clyde, NC
- NPI 1932925062
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clyde, NC
- NPI 1811158215
Hospital
-
- Home Health Agency
- Waynesville, NC
- NPI 1811411507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1992332050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 BROWNING RD",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287864920",
"telephone_number": "402-335-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HOSPITAL DR",
"city": "CLYDE",
"state": "NC",
"postal_code": "287218024",
"telephone_number": "828-452-0331"
}
],
"practiceLocations": [
{
"address_1": "30 N 1900 E # 4C116",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841320002",
"country_code": "US",
"telephone_number": "801-213-1226",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLKEN",
"first_name": "KACI",
"middle_name": "DEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "12420124-1205",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2023-02733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clyde, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.