1. Home
  2. Directory
  3. North Carolina
  4. Fayetteville
  5. Nurse Practitioner
  6. NPI Profile

KATHLEEN KELLY CARROLL M.S., M.A., APRN-BC
NPI 1376674010
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, NC

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment
805 WESTMONT DR, FAYETTEVILLE, NC 28305(910) 484-4061(910) 485-4069 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Kelly Carroll M.s., M.a., Aprn-bc NPPES

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

KATHLEEN KELLY CARROLL M.S., M.A., APRN-BC (NPI 1376674010) is an individual psychiatric/mental health provider in Fayetteville, North Carolina, licensed in North Carolina (200401185) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2006).

NPPES Registry Identity

NPI1376674010
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHLEEN KELLY CARROLLCredential: M.S., M.A., APRN-BC
Location Address805 WESTMONT DRFayetteville, NC 28305-4555
Mailing Address805 Westmont DrFayetteville, NC 28305-4555 · (910) 484-4061 · Fax (910) 485-4069
Phone(910) 484-4061
Fax(910) 485-4069
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2006
Enumeration DateMarch 7, 2007
Last NPPES UpdateMay 22, 2008
✔ NPI 1376674010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 200401185
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6455 (NC)
805 WESTMONT DR, Fayetteville, NC 28305
Open in Google Maps ↗

Other Identifiers 1

Medicaid6113055NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Kelly Carroll M.s., M.a., Aprn-bc 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 ID2163591967
PECOS Enrollment IDI20160126000261
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28305 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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 3

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

MONA LISA RIVERA MA
Counselor (Professional)
805 WESTMONT DR
FAYETTEVILLE, NC 28305
Cumberland County (910) 484-4061
ELIZABETH ANNE RAMOS MSW
Social Worker (Clinical)
805 WESTMONT DR
FAYETTEVILLE, NC 28305
Cumberland County (910) 484-4061
CARENET, INC
Counselor (Mental Health)
805 WESTMONT DR
FAYETTEVILLE, NC 28305
Cumberland County (910) 484-4061

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 Kathleen Carroll's NPI number?

The NPI number for Kathleen Carroll is 1376674010. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Kathleen Carroll located?

Kathleen Carroll practices at 805 Westmont Dr, Fayetteville, NC 28305. The listed phone number is (910) 484-4061.

What is Kathleen Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kathleen Carroll enrolled in Medicare?

Yes. Kathleen 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.

What insurance does Kathleen Carroll accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Kathleen 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.

When was this NPI record last updated?

The NPPES record for Kathleen Carroll was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.