WAKEMED SPECIALISTS GROUP LLC
NPI 1063304228
Registered Nurse - Cardiac Rehabilitation in Raleigh, NC
About Wakemed Specialists Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAKEMED SPECIALISTS GROUP LLC (NPI 1063304228), doing business as Wakemed - Virtual Cardiac Rehab, is a healthcare organization registered as a cardiac rehabilitation in Raleigh, North Carolina and active in the NPI registry since July 2025. The organization lists Karen Revicki Perry, Service Line Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wakemed Specialists Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wakemed Specialists Group LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wakemed Specialists Group LLC's NPI number?
The NPI number for Wakemed Specialists Group LLC is 1063304228. It was assigned to this organization in the NPPES registry on July 21, 2025. The provider is doing business as WakeMed - Virtual Cardiac Rehab.
Where is Wakemed Specialists Group LLC located?
Wakemed Specialists Group LLC is located at 3000 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-8000.
What is Wakemed Specialists Group LLC's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Cardiac Rehabilitation, with taxonomy code 163WC3500X.
Is Wakemed Specialists Group LLC enrolled in Medicare?
Yes. Wakemed Specialists Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wakemed Specialists Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Wakemed Specialists Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wakemed Specialists Group LLC was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wakemed Specialists Group Llc · NPI 1063304228
Cardiac Rehabilitation organization in Raleigh, North Carolina. Organization record, active in the CMS NPPES registry since July 21, 2025.
## Identity
- **NPI:** 1063304228 (Entity type: Organization)
- **Enumerated:** July 21, 2025
- **Primary specialty:** Registered Nurse - Cardiac Rehabilitation · taxonomy 163WC3500X
- **Also known as:** WakeMed - Virtual Cardiac Rehab (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Karen Perry, SERVICE LINE EXECUTIVE DIRECTOR
## Practice location
- **Address:** 3000 NEW BERN AVE, Raleigh, NC 27610-1231
- **Phone:** (919) 350-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Medicine and Rehabilitation) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063304228) · Data from the CMS NPPES public registry.