MRS. DANIELLE RAE KELLY PNP-PC
NPI 1053655928
Nurse Practitioner - Pediatrics in Gastonia, NC

Active since November 16, 2012PECOS Enrolled
705 SUMMIT CROSSING PL STE 150, GASTONIA, NC 28054(704) 671-6300(704) 671-6307 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2023, Oct 25, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Mrs. Danielle Rae Kelly Pnp-pc NPPES

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

MRS. DANIELLE RAE KELLY PNP-PC (NPI 1053655928) is an individual pediatrics provider in Gastonia, North Carolina, licensed in North Carolina (5005940) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053655928
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. DANIELLE RAE KELLYCredential: PNP-PC
Location Address705 SUMMIT CROSSING PL STE 150Gastonia, NC 28054-2137
Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 834-2450 · Fax (704) 671-5331
Fax(704) 671-6307
Sole ProprietorNo
Enumeration DateNovember 16, 2012
Last NPPES UpdateAugust 17, 20235 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
NPI 1053655928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in NC · 5005940 Licensed in SC · 27745
705 SUMMIT CROSSING PL STE 150, Gastonia, NC 28054

Other Names 1

Former Name (1)Ms. Danielle Rae Lingle Pnp-pc

Secondary Practice Locations 2

Location 11212 Spruce St Ste 201Belmont, NC 28012-3386 · Phone (704) 829-0025 · Fax (704) 829-0031
Location 2519 Nautical Dr Ste 100BClover, SC 29710-8113 · Phone (803) 831-2796 · Fax (803) 831-8614

Other Identifiers 1

Medicaid1053655928NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Danielle Rae Kelly Pnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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 2

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

Nurse Practitioner (Family)
705 SUMMIT CROSSING PL STE 150
GASTONIA, NC 28054
Pediatrics
705 SUMMIT CROSSING PL STE 150
GASTONIA, NC 28054

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 Danielle Kelly's NPI number?

The NPI number for Danielle Kelly is 1053655928. It was assigned to this individual provider in the NPPES registry on November 16, 2012. The provider is also known as Ms. Danielle Rae Lingle Pnp-Pc.

Where is Danielle Kelly located?

Danielle Kelly practices at 705 Summit Crossing Pl Ste 150, Gastonia, NC 28054. The listed phone number is (704) 671-6300.

What is Danielle Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Danielle Kelly enrolled in Medicare?

Yes. Danielle Kelly is registered in the Medicare PECOS enrollment system.

What insurance does Danielle Kelly accept?

Health plans from Blue Cross and Blue Shield of NC list Danielle Kelly 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 Danielle Kelly was last updated on August 17, 2023. 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.