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

Q: 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.

Q: What is Danielle Kelly's specialty?

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

Q: 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 3 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 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: October 18, 2026.

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

On this page

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

Phone(704) 671-6300

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

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Other Names 1

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

Secondary Practice Locations 2

Location 1519 Nautical Dr Ste 100BClover, SC 29710-8113 · Phone (803) 831-2796 · Fax (803) 831-8614

Location 21212 Spruce St Ste 201Belmont, NC 28012-3386 · Phone (704) 829-0025 · Fax (704) 829-0031

Other Identifiers 1

Medicaid1053655928NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

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

Caromont Medical Group, Inc.

Same address

Pediatrics

705 SUMMIT CROSSING PL, STE 150
Gastonia, NC 28054

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

NPI 1194904706 (704) 671-6300

Novant Health Medical Group, LLC

0.2 mi

Gynecologic Oncology

885 SUMMIT CROSSING PL
Gastonia, NC 28054

Reassigned Medicare billing, North Carolina enrollment
2,998 clinicians in this Medicare group

NPI 1093369530 (980) 302-6560

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 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 3

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

MARTY ALLEN BAKER M.D.

Pediatrics

705 SUMMIT CROSSING PL STE 150
GASTONIA, NC 28054

Gaston County (704) 671-5300

MRS. EMILE MARKS HORNE NP

Nurse Practitioner (Family)

705 SUMMIT CROSSING PL STE 150
GASTONIA, NC 28054

Gaston County (704) 671-6300

ALLISON MICHELE GARSVA DO

Pediatrics

705 SUMMIT CROSSING PL STE 150
GASTONIA, NC 28054

Gaston County (704) 671-6300

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.

Which organizations bill Medicare for Danielle Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Kelly reassigns Medicare benefits to 2 organizations: Caromont Medical Group, Inc. (Gastonia, NC) and Novant Health Medical Group, LLC (Gastonia, NC). 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 Danielle Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 3 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.