SUSANNAH KELLY SHORT FNP - NPI 1063044063 - Nurse Practitioner in Charlotte, NC

Q: What is Susannah Short's NPI number?

The NPI number for Susannah Short is 1063044063. It was assigned to this individual provider in the NPPES registry on February 7, 2020.

Q: What is Susannah Short'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 Susannah Short was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Susannah Kelly Short Fnp NPPES

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

SUSANNAH KELLY SHORT FNP (NPI 1063044063) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5012828) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1063044063

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSANNAH KELLY SHORTCredential: FNP

Location Address1426 E MOREHEAD STCharlotte, NC 28204-2926

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 446-6090

Sole ProprietorNo

Enumeration DateFebruary 7, 2020

Last NPPES UpdateJuly 15, 202419 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2020

✔ NPI 1063044063 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 · 5012828

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5012828 (NC)

1426 E MOREHEAD ST, Charlotte, NC 28204

Open in Google Maps ↗

Secondary Practice Locations 4

Location 110210 Couloak Dr, Ste ECharlotte, NC 28216-7679 · Phone (704) 801-2000

Location 25717 Albemarle RdCharlotte, NC 28212-1634 · Phone (704) 563-2150

Location 37810 Providence Rd, Ste 102Charlotte, NC 28226-2954 · Phone (704) 543-6636

Location 45727 Prosperity Crossing Dr, Ste 1100Charlotte, NC 28269-2206 · Phone (704) 863-9930

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susannah Kelly Short Fnp 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.

Areas of Expertise CMS Part B claims

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.

22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 5

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

ASHLEY WHITTINGTON FNP

Nurse Practitioner (Family)