Kim Marion Carollo, NP - Medicare Nurse Practitioner in Durham, NC

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Kim Marion Carollo, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Durham, North Carolina. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wakemed Specialists Group Llc, Carolinas Physicians Network Inc., Carolinas Medical Center, Duke Health Integrated Practice Inc and her current practice location is 3643 N Roxboro St, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 470-6248.

Kim Marion Carollo is licensed to practice in North Carolina (license number 5012470) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972072114.

Contact Information

Kim Marion Carollo, NP
3643 N Roxboro St,
Durham, NC 27704-2702
(919) 470-6248
Not Available

Map and Direction




Provider's Profile

Full NameKim Marion Carollo
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location3643 N Roxboro St, Durham, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kim Marion Carollo graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1972072114
  • Provider Enumeration Date: 11/16/2018
  • Last Update Date: 11/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496095697
  • Enrollment ID: I20200221002630

Medical Identifiers

Medical identifiers for Kim Marion Carollo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972072114NPI-NPPES
NP64661MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care RN282977 (Georgia)Secondary
363LA2100XNurse Practitioner - Acute Care 23520 (South Carolina)Secondary
363LA2100XNurse Practitioner - Acute Care 5012470 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Duke Regional HospitalDurham, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wakemed Specialists Group Llc2466788377774
Carolinas Physicians Network Inc.33754496552100
Carolinas Medical Center4789597477817
Duke Health Integrated Practice Inc83254127372794

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kim Marion Carollo allows following entities to bill medicare on her behalf.
Entity NameCarolinas Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774333
PECOS PAC ID: 4789597477
Enrollment ID: O20031110000116
Entity NameThe Moses H Cone Memorial Hospital Operating Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356372064
PECOS PAC ID: 6204744600
Enrollment ID: O20031124000541
Entity NameDuke University Health System, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558392977
PECOS PAC ID: 2567372345
Enrollment ID: O20031201000521
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455
Entity NameCaldwell Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477839108
PECOS PAC ID: 5395646970
Enrollment ID: O20040116000355
Entity NameColumbus Regional Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508001009
PECOS PAC ID: 6608924931
Enrollment ID: O20090424000511
Entity NameScotland Regional Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972829562
PECOS PAC ID: 2365573185
Enrollment ID: O20100623000242
Entity NameWakemed Specialists Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588227839
PECOS PAC ID: 2466788377
Enrollment ID: O20190731000815
Entity NameDuke Health Integrated Practice Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205553369
PECOS PAC ID: 8325412737
Enrollment ID: O20230327002247

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim Marion Carollo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kim Marion Carollo, NP
179 N Harbor Watch Dr,
Statesville, NC 28677-2483

Ph: (516) 316-5392		Kim Marion Carollo, NP
3643 N Roxboro St,
Durham, NC 27704-2702

Ph: (919) 470-6248

Reviews and Comments


Nurse Practitioner Nurses in Durham, NC

Rebekah Doiron,
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Practice Location: 2301 Erwin Rd, Durham, NC 27705
Phone: 919-684-8111    
Jordan Mckenzie-solis, APRN, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2301 Erwin Rd, Durham, NC 27710
Phone: 919-684-8111    
Allison Gibson, MSN, ACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10 Duke Medicine Cir, Durham, NC 27710
Phone: 919-385-8341    
Jennifer Snyder, AGPCNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 621 Ashford Ln, Durham, NC 27713
Phone: 330-472-8733    
Priscila M Tomlin,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8315 Morrell Ln, Durham, NC 27713
Phone: 919-491-4661    
Josephine Winifred Hazeley, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1415 Nc-54 Suite 105, Durham, NC 27707
Phone: 919-275-1405    
Zemoria Carter, PMHNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 4230 N Roxboro St, Durham, NC 27704
Phone: 919-477-9805    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.