Individual provider

Sandra Kolb, NP

Family Nurse Practitioner Geriatric Medicine (Internal Medicine) Physician Medicare enrolled

Sandra Kolb, NP is a Family Nurse Practitioner in Fayetteville, NC, registered under NPI 1790452076. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 413 OWEN DR STE 101, Fayetteville, NC 28304. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

413 OWEN DR STE 101, Fayetteville, NC 28304 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
5014996 NC Family Nurse Practitioner primary
0024182510 VA Geriatric Medicine (Internal Medicine)…

Licences are recorded in 2 states: NC, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
2163829508
Enrollment ID
I20210927003443

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: North Carolina and Virginia. The practice address on file is in Fayetteville, NC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NC North Carolina practice address
Licence
5014996
Specialty
Family Nurse Practitioner
Verify with the NC board →
VA Virginia
Licence
0024182510
Specialty
Geriatric Medicine (Internal Medicine)…
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family 5014996 NC primary
207RG0300X Geriatric Medicine (Internal Medicine) Physician Geriatric Medicine 0024182510 VA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1790452076 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 25, 2021
Last updatedFeb 23, 2022
StatusActive
Sole proprietorNo
CredentialNP
Practice address 413 OWEN DR STE 101
Fayetteville, NC 28304
(910) 491-3947
Fax (910) 491-5691
The last update on file is Feb 23, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1790452076 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 9 0 4 5 2 0 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 9 0 8 5 4 0 5

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1790452076?
NPI 1790452076 is the National Provider Identifier assigned to Sandra Kolb, NP in Fayetteville, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Sandra Kolb, NP?
The phone number on file with NPPES is (910) 491-3947, last updated Feb 23, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Sandra Kolb, NP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1790452076 a valid number?
Yes. 1790452076 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.