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

Carrie Frasure Kennedy, FNP

Individual provider Family Nurse Practitioner · NPI 1083484463

Carrie Frasure Kennedy, FNP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2022, 4 years ago. Practices with Pacs, PC, a 10-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

10021 Park Cedar Dr Ste 200
Charlotte, NC 28210-8701
Phone: (704) 438-9383
Fax: (704) 438-9383
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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 5019377 (NC)

Record details

NPI number1083484463
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 5, 2024
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pacs, Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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