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Mary Kathryn Elledge

NPI 1447955232ActiveIndividual· Nurse Practitioner, Pediatrics· Durham, NC

Nurse Practitioner, Pediatrics in Durham, North Carolina, trained at University of Alabama School of Medicine (class of 2024). Enrolled in Medicare as practitioner - nurse practitioner.

Overview

NPI1447955232
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedApr 3, 2023
Last updated in NPPESAug 25, 2025
Certified by providerAug 25, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Pediatrics Primary363LP0200X5021780NC
Registered Nurse163W00000X297433NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (NC)

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Alabama School of Medicine
Graduation year2024
Medicare specialtyNurse Practitioner

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other pediatric nurse practitioners in Durham

All 68 pediatric nurse practitioners in Durham · All pediatric nurse practitioners in North Carolina