WAKE NEPHROLOGY ASSOCIATES, P.A.
NPI 1891797049
Specialist in Raleigh, NC

NPI Status: Active since June 01, 2005

Contact Information

3604 BUSH ST
RALEIGH, NC
ZIP 27609
Phone: (919) 876-7807
Fax: (919) 876-8823

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  • Organization
  • Specialist

About WAKE NEPHROLOGY ASSOCIATES, P.A.

This page provides the complete NPI Profile along with additional information for Wake Nephrology Associates, P.a., a provider established in Raleigh, North Carolina operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1891797049 assigned on June 2005. The practitioner's primary taxonomy code is 174400000X with license number 9800209 (NC). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Jamie Kendra Fricke (Practice Manager)

NPI
1891797049
Provider Name
WAKE NEPHROLOGY ASSOCIATES, P.A.
Entity Type
Organization
Location Address
3604 BUSH ST RALEIGH, NC 27609
Location Phone
(919) 876-7807
Location Fax
(919) 876-8823
Mailing Address
3604 BUSH ST RALEIGH, NC 27609
Mailing Phone
(919) 876-7807
Mailing Fax
(919) 876-8823
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2005
Last Update Date
03-23-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
9800209
License State
NC
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

31375 (NC)
2174400000XOther Service Providers

Specialist

23576 (NC)
3174400000XOther Service Providers

Specialist

23533 (NC)
4174400000XOther Service Providers

Specialist

34410 (NC)
5174400000XOther Service Providers

Specialist

9500252 (NC)
6174400000XOther Service Providers

Specialist

200100423 (NC)
7174400000XOther Service Providers

Specialist

200200682 (NC)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JAMIE KENDRA FRICKE

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(919) 876-7807

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D46166MEDICARE UPIN (02)NC 
C88532MEDICARE UPIN (02)NC 
2284903MEDICARE ID-TYPE UNSPECIFIED (04)NCMEDICARE PROVIDER NUMBER
207775BMEDICARE ID-TYPE UNSPECIFIED (04)NCMEDICARE PROVIDER NUMBER
8947988MEDICAID (05)NC 
E78745MEDICARE UPIN (02)NC 
I26516MEDICARE UPIN (02)NC 
2216087AMEDICARE ID-TYPE UNSPECIFIED (04)NCMEDICARE PROVIDER NUMBER
2161684MEDICARE ID-TYPE UNSPECIFIED (04)NCMEDICARE PROVIDER NUMBER
0865MEDICARE ID-TYPE UNSPECIFIED (04)NCGROUP NUMBER
2037970MEDICARE ID-TYPE UNSPECIFIED (04)NYMEDICARE PROVIDER NUMBER
6973447MEDICAID (05)NC 
2158714MEDICARE ID-TYPE UNSPECIFIED (04)NCMEDICARE PROVIDER NUMBER
7902997MEDICAID (05)NC 
D62808MEDICARE UPIN (02)NC 
H36927MEDICARE UPIN (02)NC 
2285829MEDICARE ID-TYPE UNSPECIFIED (04)NCMEDICARE PROVIDER NUMBER
G14096MEDICARE UPIN (02)NC 
H34073MEDICARE UPIN (02)NC 
210045MEDICARE ID-TYPE UNSPECIFIED (04)NCMEDICARE PROVIDER NUMBER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1891797049, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 8 + 1 + 1 + 4 + 9 + 1 + 4 + 0 + 8 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1891797049.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Specialist
3604 BUSH ST, 2ND FLOOR
RALEIGH, NC 27609
Specialist
3604 BUSH ST, 2ND FLOOR
RALEIGH, NC 27609
Physician Assistant (Medical)
3604 BUSH ST
RALEIGH, NC 27609
Dietitian, Registered (Nutrition, Renal)
3604 BUSH ST
RALEIGH, NC 27609
Nurse Practitioner
3604 BUSH ST
RALEIGH, NC 27609
Nurse Practitioner (Family)
3604 BUSH ST
RALEIGH, NC 27609
Internal Medicine (Nephrology)
3604 BUSH ST, 2ND FLOOR
RALEIGH, NC 27609
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3604 BUSH ST
RALEIGH, NC 27609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891797049, enumerated as an "organization" on June 01, 2005.

The provider is located at 3604 BUSH ST RALEIGH, NC 27609 and the phone number is (919) 876-7807.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.