Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Kishbaugh, FNP-C

Individual provider Family Nurse Practitioner · NPI 1447895891

Andrea Kishbaugh, FNP-C is a Nurse Practitioner in Fayetteville, North Carolina. Qualified in 2019, 7 years ago. Practices with Raleigh Neurosurgical Clinic Inc, a 52-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2109 Valleygate Dr Ste 201
Fayetteville, NC 28304-3571
Phone: (910) 486-8880
Fax: (910) 486-8886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5012563 (NC)

Record details

NPI number1447895891
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 8, 2019
Last updated in NPPESNovember 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Raleigh Neurosurgical Clinic Inc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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