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WAKE PSYCHIATRY, PLLC
NPI 1669763520
Psychiatry & Neurology - Psychiatry in Raleigh, NC

Active since April 27, 2011
1500 SUNDAY DR STE 102, RALEIGH, NC 27607(919) 322-2413(919) 322-2416 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2026, Aug 10, 2022, Sep 23, 2016 (3 updates tracked since 2016).

About Wake Psychiatry, Pllc NPPES

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

WAKE PSYCHIATRY, PLLC (NPI 1669763520) is a healthcare organization registered as a psychiatry in Raleigh, North Carolina and active in the NPI registry since April 2011. The organization lists Kellie Morris Tolin, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1669763520
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameWAKE PSYCHIATRY, PLLC
Location Address1500 SUNDAY DR STE 102Raleigh, NC 27607-5151
Mailing Address1500 Sunday Dr Ste 102Raleigh, NC 27607-5151 · (919) 322-2413 · Fax (919) 322-2416
Phone(919) 322-2413
Fax(919) 322-2416
Organization SubpartNo
Authorized OfficialKellie Morris TolinChief Medical Officer · (919) 322-2413
Enumeration DateApril 27, 2011
Last NPPES UpdateApril 10, 20263 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1669763520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1500 SUNDAY DR STE 102, Raleigh, NC 27607
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wake Psychiatry, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Wake Psychiatry, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Karen Lavieri, FNP-C
Nurse Practitioner
NPI 1760900898
1500 SUNDAY DR STE 102
Raleigh, NC 27607
(919) 322-2413
✔ PECOS✔ Accepts MedicareSame address
Kellie Tolin, MD
Psychiatry
NPI 1851373765
1500 SUNDAY DR STE 102
Raleigh, NC 27607
(919) 322-2413
✔ PECOS✔ Accepts MedicareSame address
Carrie Pettit, FNP
Nurse Practitioner
NPI 1053681908
5809 CORPORATE DRIVE SUITE 106
Raleigh, NC 27616
(919) 872-6220
✔ PECOS✔ Accepts Medicare0.9 mi
Maggie D'angelo, PMHNP-BC
Nurse Practitioner
NPI 1154043610
160 NE MAYNARD RD STE 200
Cary, NC 27513
(919) 466-7540
✔ PECOS✔ Accepts Medicare2.8 mi
Jacquetta Foushee, M.D.
Psychiatry
NPI 1427319698
8502 SIX FORKS RD STE 102
Raleigh, NC 27615
(984) 207-1098
✔ PECOS✔ Accepts Medicare8.1 mi
John Bussell
Nurse Practitioner
NPI 1750153722
101 CABARRUS AVE E STE 200
Concord, NC 28025
(855) 743-2247
✔ PECOS✔ Accepts Medicare107 mi

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 Wake Psychiatry, PLLC's NPI number?

The NPI number for Wake Psychiatry, PLLC is 1669763520. It was assigned to this organization in the NPPES registry on April 27, 2011.

Where is Wake Psychiatry, PLLC located?

Wake Psychiatry, PLLC is located at 1500 Sunday Dr Ste 102, Raleigh, NC 27607. The listed phone number is (919) 322-2413.

What is Wake Psychiatry, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Wake Psychiatry, PLLC enrolled in Medicare?

Yes. Wake Psychiatry, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wake Psychiatry, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Wake Psychiatry, PLLC. 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. The largest specialties are Nurse Practitioner (4) and Psychiatry (2). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wake Psychiatry, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Wake Psychiatry, PLLC 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 Wake Psychiatry, PLLC was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.