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DEMETRA CATES
NPI 1043158371
Nurse Practitioner - Family in Kinston, NC

Active since March 25, 2026PECOS EnrolledAccepts Medicare Assignment
1040 HWY 258 N, KINSTON, NC 28504(252) 525-4000 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 14, 2026, Mar 31, 2026, Mar 25, 2026 (3 updates tracked since 2026).

About Demetra Cates NPPES

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

DEMETRA CATES (NPI 1043158371) is an individual family provider in Kinston, North Carolina, licensed in North Carolina (5024204) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043158371
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEMETRA CATES
Location Address1040 HWY 258 NKinston, NC 28504-9104
Mailing Address1500 1st Ave N Unit 3Birmingham, AL 35203-1866
Phone(252) 525-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 25, 2026
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1043158371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5024204
1040 HWY 258 N, Kinston, NC 28504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Insurance Corporation of Ohio.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

Demetra Cates 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 ID345715520
PECOS Enrollment IDI20260406001367
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

2

Medicare enrollment records show Demetra Cates reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainstreet And Kidsstreet Of North Carolina PLLC
114 mi
Urgent Care
2151 N CHURCH ST
Burlington, NC 27217
  • Reassigned Medicare billing, North Carolina enrollment
  • 106 clinicians in this Medicare group
NPI 1043170558 (336) 329-0959
Complexcare Medical Group Midwest M PLLC
588 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, North Carolina enrollment
  • 41 clinicians in this Medicare group
NPI 1528851607 (248) 660-1220

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28504 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetra Cates's NPI number?

The NPI number for Demetra Cates is 1043158371. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Where is Demetra Cates located?

Demetra Cates practices at 1040 Hwy 258 N, Kinston, NC 28504. The listed phone number is (252) 525-4000.

What is Demetra Cates's specialty?

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

Is Demetra Cates enrolled in Medicare?

Yes. Demetra Cates is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Demetra Cates's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Demetra Cates reassigns Medicare benefits to 2 organizations: Mainstreet And Kidsstreet Of North Carolina PLLC (Burlington, NC) and Complexcare Medical Group Midwest M PLLC (Novi, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Demetra Cates's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Demetra Cates accept?

Health plans from Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Demetra Cates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Demetra Cates was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.