KATELYN NOEL CARROLL
NPI 1063971364
Nurse Anesthetist, Certified Registered in Raleigh, NC

Active since March 16, 2019Accepts Medicare Assignment
3024 NEW BERN AVE, RALEIGH, NC 27610(919) 350-8000 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 24, 2023, Sep 21, 2020, Sep 16, 2020 and 1 more (4 updates tracked since 2019).

About Katelyn Noel Carroll NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN NOEL CARROLL (NPI 1063971364) is an individual nurse anesthetist, certified registered in Raleigh, North Carolina, licensed in North Carolina (6438) and active in the NPI registry since March 2019. She is affiliated with North Carolina Specialty Hospital, maintains a secondary practice location in Raleigh, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063971364
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKATELYN NOEL CARROLL
Location Address3024 NEW BERN AVERaleigh, NC 27610-1247
Mailing Address8713 Mourning Dove RdRaleigh, NC 27615-3208 · (313) 244-7889
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 16, 2019
Last NPPES UpdateMay 24, 20234 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1063971364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NC · 6438
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3024 NEW BERN AVE, Raleigh, NC 27610

Secondary Practice Location 1

Location 14420 Lake Boone TrlRaleigh, NC 27607-7505 · Phone (919) 784-3100

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katelyn Noel Carroll is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204256050
PECOS Enrollment IDI20201015002026

Medicare Billing Reassignments

7

Medicare enrollment records show Katelyn Carroll reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
110 CAPCOM AVE STE 200
Wake Forest, NC 27587
  • Reassigned Medicare billing, North Carolina enrollment
  • 652 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1010 COLLEGE ST
Oxford, NC 27565
  • Reassigned Medicare billing, North Carolina enrollment
  • 27 clinicians in this Medicare group
Critical Access
475 PROGRESS BLVD.
Siler City, NC 27344
  • Reassigned Medicare billing, North Carolina enrollment
  • 139 clinicians in this Medicare group
Gastroenterology
1002 N CHURCH ST, SUITE 201
Greensboro, NC 27401
  • Reassigned Medicare billing, North Carolina enrollment
  • 179 clinicians in this Medicare group
Multi-Specialty
1202 MEDICAL CENTER DR
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 444 clinicians in this Medicare group
Anesthesiology
3735 GLENLAKE DR STE 250
Charlotte, NC 28208
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Providence Anesthesiology Associates PA
  • 483 clinicians in this Medicare group
Anesthesiology
2221 LAKESIDE BLVD STE 600
Richardson, TX 75082
  • Reassigned Medicare billing, North Carolina enrollment
  • 493 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
91 services91 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Carolina Specialty Hospital

Acute Care Hospitals · Durham, NC
OwnershipProprietary
CMS Certification Number340049
Location3916 Ben Franklin BoulevardDurham, NC 27704 · Durham County

Granville Health Systems

Acute Care Hospitals · Oxford, NC
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340127
Location1010 College StOxford, NC 27565 · Granville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
3024 NEW BERN AVE
RALEIGH, NC 27610
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610
Internal Medicine (Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant
3024 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant (Surgical)
3024 NEW BERN AVE
RALEIGH, NC 27610
Obstetrics & Gynecology
3024 NEW BERN AVE
RALEIGH, NC 27610
Nurse Practitioner
3024 NEW BERN AVE, SUITE 304
RALEIGH, NC 27610

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 Katelyn Carroll's NPI number?

The NPI number for Katelyn Carroll is 1063971364. It was assigned to this individual provider in the NPPES registry on March 16, 2019.

Where is Katelyn Carroll located?

Katelyn Carroll practices at 3024 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-8000.

What is Katelyn Carroll's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Katelyn Carroll enrolled in Medicare?

Yes. Katelyn Carroll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Katelyn Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Carroll reassigns Medicare benefits to 7 organizations: American Anesthesiology Of North Carolina, PLLC (Wake Forest, NC), Granville Health System (Oxford, NC), Chatham Hospital Inc (Siler City, NC), Eagle Physicians And Associates PA (Greensboro, NC), Wilmington Health PLLC (Wilmington, NC) and 2 more organizations, listed in the Medicare section above. Each 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 Katelyn Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Carroll accept?

Health plans from Blue Cross and Blue Shield of NC list Katelyn Carroll as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Katelyn Carroll affiliated with any hospitals?

According to CMS data, Katelyn Carroll is affiliated with North Carolina Specialty Hospital and Granville Health Systems.

When was this NPI record last updated?

The NPPES record for Katelyn Carroll was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.