SUSANNAH KELLY SHORT FNP
NPI 1063044063
Nurse Practitioner - Family in Charlotte, NC
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
Specialties & Licenses 2
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susannah Kelly Short Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Susannah Short reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlotte, NC 28204
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 clinicians in this Medicare group
Charlotte, NC 28226
- Reassigned Medicare billing, North Carolina enrollment
- 157 clinicians in this Medicare group
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
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.
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.
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.
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.
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 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.
Where is Susannah Short located?
Susannah Short practices at 1426 E Morehead St, Charlotte, NC 28204. The listed phone number is (704) 446-6090.
What is Susannah Short's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susannah Short enrolled in Medicare?
Yes. Susannah Short is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Susannah Short's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susannah Short reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Charlotte, NC) and Arboretum Urgent Care Center (Charlotte, 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 Susannah Short's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susannah Short accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Susannah Short 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 Susannah Short 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.
# Susannah Kelly Short, FNP · NPI 1063044063
Family physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since February 7, 2020.
## Identity
- **NPI:** 1063044063 (Entity type: Individual)
- **Enumerated:** February 7, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5012828 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1426 E MOREHEAD ST, Charlotte, NC 28204-2926
- **Phone:** (704) 446-6090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carolinas Physicians Network Inc (NPI 1427561638, Charlotte, NC); Arboretum Urgent Care Center (NPI 1457380313, Charlotte, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063044063) · Data from the CMS NPPES public registry.