MEDICARE: CAITLIN SUZANNE GESELL FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	5024501	NC
2	363LF0000X	Family Nurse Practitioner	5024501	NC

General Provider Information

NPI Number	:	1053261032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN SUZANNE GESELL FNP

Provider Business Mailing Address
First Line	:	PO BOX 604050
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-4050
Country	:	US
Telephone Number	:	336-646-7323
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 HIGHLAND OAKS DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-7154
Country	:	US
Telephone Number	:	336-646-7323
Fax Number	:	336-646-7787

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	06/08/2026

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