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

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: November 08, 2026.

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

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
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

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

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

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.

Medicare Billing Reassignments

11

Medicare enrollment records show Kim Carollo reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Foot and Ankle Surgery
2609 N DUKE ST STE 301
Durham, NC 27704
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
Social Worker
2213 ELBA ST
Durham, NC 27705
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,503 clinicians in this Medicare group
Pediatric Cardiology
10010 FALLS OF NEUSE RD
Raleigh, NC 27614
  • Reassigned Medicare billing, North Carolina enrollment
  • 997 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1123 N CHURCH ST
Greensboro, NC 27401
  • Reassigned Medicare billing, North Carolina enrollment
  • 408 clinicians in this Medicare group
Multi-Specialty
1303 GREENSBORO STREET EXT
Lexington, NC 27295
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
Family Medicine
24420 MARLBORO STREET
Wagram, NC 28396
  • Reassigned Medicare billing, North Carolina enrollment
  • 248 clinicians in this Medicare group
Cardiovascular Disease
1908 HILCO ST STE A
Albemarle, NC 28001
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
Obstetrics & Gynecology
200 MEDICAL PARK DR, STE 250
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
Orthopaedic Surgery
701 JEFFERSON ST
Whiteville, NC 28472
  • Reassigned Medicare billing, North Carolina enrollment
  • 216 clinicians in this Medicare group
Internal Medicine
701 1ST ST NW STE C
Hickory, NC 28601
  • Reassigned Medicare billing, North Carolina enrollment
  • 313 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 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.

Emergency Medicine
3643 N ROXBORO ST
DURHAM, NC 27704
Physician Assistant (Medical)
3643 N ROXBORO ST
DURHAM, NC 27704
Occupational Therapist
3643 N ROXBORO ST
DURHAM, NC 27704
Physical Therapist
3643 N ROXBORO ST
DURHAM, NC 27704
Pharmacist
3643 N ROXBORO ST
DURHAM, NC 27704
Anesthesiology
3643 N ROXBORO ST
DURHAM, NC 27704
Anesthesiology
3643 N ROXBORO ST
DURHAM, NC 27704
Internal Medicine
3643 N ROXBORO ST
DURHAM, NC 27704

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 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.

Where is Kim Carollo located?

Kim Carollo practices at 3643 N Roxboro St, Durham, NC 27704. The listed phone number is (919) 470-6248.

What is Kim Carollo's specialty?

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

Is Kim Carollo enrolled in Medicare?

Yes. Kim Carollo 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 Kim Carollo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Carollo reassigns Medicare benefits to 11 organizations: Duke Health Integrated Practice, Inc (Durham, NC), Duke University Health System, Inc. (Durham, NC), Wakemed Specialists Group, LLC (Raleigh, NC), The Moses H. Cone Memorial Hospital Operating Corporation (Greensboro, NC), Wake Forest University Health Sciences (Lexington, NC) and 6 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 Kim Carollo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Carollo accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. list Kim Carollo 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 Kim Carollo affiliated with any hospitals?

According to CMS data, Kim Carollo is affiliated with Wakemed, Raleigh Campus and Duke Regional Hospital.

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 23 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.