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

John Kevin Painter

Individual provider Nurse Practitioner · NPI 1598400350

John Kevin Painter is a Nurse Practitioner in Wilmington, North Carolina. Qualified in 2020, 6 years ago. Practices with Lifesource of North Carolina, a 170-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2565
Phone: (910) 742-9243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5013886 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5013886 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5013886 (NC)

Record details

NPI number1598400350
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 4, 2022
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wilmington