JONATHAN LABAYO DESAMERO FNP
NPI 1003804972
Nurse Practitioner - Family in Gastonia, NC

Q: What is Jonathan Desamero's NPI number?

The NPI number for Jonathan Desamero is 1003804972. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Q: What is Jonathan Desamero's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Desamero was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment

3715 UNION RD, GASTONIA, NC 28056(704) 854-8202 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jonathan Labayo Desamero Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN LABAYO DESAMERO FNP (NPI 1003804972) is an individual family provider in Gastonia, North Carolina, licensed in North Carolina (201824) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1003804972

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJONATHAN LABAYO DESAMEROCredential: FNP

Location Address3715 UNION RDGastonia, NC 28056-8044

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 854-8202

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateOctober 13, 2005

Last NPPES UpdateJuly 15, 2024

NPPES CertifiedJune 27, 2022

✔ NPI 1003804972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NC · 201824

Also ListedNurse PractitionerTaxonomy 363L00000X · License 201824 (NC)

3715 UNION RD, Gastonia, NC 28056

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Secondary Practice Locations 4

Location 13970 W Highway 27Lincolnton, NC 28092-0710 · Phone (704) 748-2245

Location 2201 Dale Earnhardt Blvd, Ste 200Kannapolis, NC 28081-0308 · Phone (704) 932-1155

Location 38560 Cook StMount Pleasant, NC 28124-7686 · Phone (704) 436-6521

Location 41124 N Washington StShelby, NC 28150-3862 · Phone (980) 487-1148

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Labayo Desamero Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951203769

PECOS Enrollment IDI20040122000878

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jonathan Desamero reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc

Same address

Family Medicine

3715 UNION RD
Gastonia, NC 28056

Reassigned Medicare billing, North Carolina enrollment
Also billed through NPI 1497256143 (North Carolina)
1,646 clinicians in this Medicare group

NPI 1851555734 (704) 854-8202

The Charlotte-Mecklenburg Hospital Authority

5.0 mi

Hematology

2610 ABERDEEN BLVD
Gastonia, NC 28054

Reassigned Medicare billing, North Carolina enrollment
1,534 clinicians in this Medicare group

NPI 1053805127 (980) 442-4500

Carolinas Medical Center

17 mi

Family Medicine

1801 ROZZELLES FERRY RD
Charlotte, NC 28208

Reassigned Medicare billing, North Carolina enrollment
2,223 clinicians in this Medicare group

NPI 1063567428 (704) 446-9987

Carolina Medicorp Enterprises, LLC

18 mi

Urgent Care

445 S KINGS DR
Charlotte, NC 28204

Reassigned Medicare billing, North Carolina enrollment
117 clinicians in this Medicare group

NPI 1760950646 (980) 308-0141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

160 services152 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

73 services70 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

39 services37 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

20 services20 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28056 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD ANTHONY VAN METER MD

Family Medicine