KIM MARION CAROLLO NP
NPI 1972072114
Nurse Practitioner - Acute Care in Durham, NC

Q: What is Kim Carollo's NPI number?

The NPI number for Kim Carollo is 1972072114. It was assigned to this individual provider in the NPPES registry on November 16, 2018.

Q: What is Kim Carollo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kim Carollo was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since November 16, 2018PECOS EnrolledAccepts Medicare Assignment

3643 N ROXBORO ST, DURHAM, NC 27704(919) 470-6248 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2024, Jan 31, 2023, Sep 9, 2022 and 9 more (12 updates tracked since 2018).

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About Kim Marion Carollo Np NPPES

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

KIM MARION CAROLLO NP (NPI 1972072114) is an individual acute care provider in Durham, North Carolina, licensed in North Carolina (5012470) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1972072114

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKIM MARION CAROLLOCredential: NP

Location Address3643 N ROXBORO STDurham, NC 27704-2702

Mailing Address179 N Harbor Watch DrStatesville, NC 28677-2483 · (516) 316-5392 · Fax (516) 316-5392

Phone(919) 470-6248

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 16, 2018

Last NPPES UpdateNovember 14, 202412 updates tracked since enumeration

NPPES CertifiedNovember 14, 2024

✔ NPI 1972072114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in NC · 5012470✔ Licensed in GA · RN282977✔ Licensed in SC · 23520

3643 N ROXBORO ST, Durham, NC 27704

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Secondary Practice Locations 4

Location 13000 New Bern Ave Ste G100Raleigh, NC 27610-1231 · Phone (919) 231-6132

Location 28 Richland Medical Park Dr Ste 100Columbia, SC 29203-8006 · Phone (803) 434-3800 · Fax (803) 744-2759

Location 36 Richland Medical Park Dr Ste 2100Columbia, SC 29203-6864 · Phone (803) 434-2762 · Fax (803) 434-2713

Location 41000 Blythe Blvd, CMC Annex, 1st FloorCharlotte, NC 28203 · Phone (704) 355-0270

Other Identifiers 1

MedicaidNP64661SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina.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

Kim Marion Carollo Np 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 ID5496095697

PECOS Enrollment IDI20200221002630, I20200225002448

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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

33 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

14 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340069

Location3000 New Bern AveRaleigh, NC 27610 · Wake County

Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340155

Location3643 N Roxboro StreetDurham, NC 27704 · Durham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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 20

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

LYDIA DARLUD MITCHELL M.D.

Emergency Medicine