NIKIDA BRYANT RN
NPI 1063095875
Nurse Practitioner in Charlotte, NC

Active since April 29, 2021PECOS Enrolled
13302 SHANAGARRY DR, CHARLOTTE, NC 28278(336) 769-7939 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2025, Apr 29, 2021 (2 updates tracked since 2021).

About Nikida Bryant Rn NPPES

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

NIKIDA BRYANT RN (NPI 1063095875) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5021592) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063095875
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNIKIDA BRYANTCredential: RN
Location Address13302 SHANAGARRY DRCharlotte, NC 28278-8191
Mailing Address13302 Shanagarry DrCharlotte, NC 28278-8191 · (336) 769-7939
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 29, 2021
Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
NPI 1063095875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5021592
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 250856 (NC)
13302 SHANAGARRY DR, Charlotte, NC 28278

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nikida Bryant Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365958774
PECOS Enrollment IDI20250723000072
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 28278 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 Nikida Bryant's NPI number?

The NPI number for Nikida Bryant is 1063095875. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Nikida Bryant located?

Nikida Bryant practices at 13302 Shanagarry Dr, Charlotte, NC 28278. The listed phone number is (336) 769-7939.

What is Nikida Bryant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nikida Bryant enrolled in Medicare?

Yes. Nikida Bryant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nikida Bryant was last updated on February 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.