Raleigh Family Practice PA
NPI 1063571040 · Family Medicine Physician · Raleigh, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raleigh Family Practice PA is a Family Medicine Physician organization in Raleigh, NC (NPI 1063571040).
Provider details
- NPI number
- 1063571040
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristin Fisher, Practice Administrator(919) 875-0539
- License
- 84061 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Raleigh Family Practice PA's NPI number?
- Raleigh Family Practice PA's National Provider Identifier (NPI) is 1063571040, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Raleigh Family Practice PA?
- Raleigh Family Practice PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Raleigh Family Practice PA located?
- Raleigh Family Practice PA's practice location on file with NPPES is 4414 Lake Boone Trl, Raleigh, NC 27607-7513.
- What is Raleigh Family Practice PA's phone number?
- The practice phone number listed in the NPPES registry for Raleigh Family Practice PA is (919) 875-0539.
- Does Raleigh Family Practice PA accept Medicare?
- Raleigh Family Practice PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Raleigh Family Practice PA?
- The authorized official listed on Raleigh Family Practice PA's NPPES record is Kristin Fisher, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Raleigh Family Practice PA's NPI active?
- Yes — Raleigh Family Practice PA's NPI (1063571040) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.