KELLY DAWKINS BUMGARDNER NP-C
NPI 1063178622
Nurse Practitioner - Family in Statesville, NC

Active since November 09, 2021PECOS EnrolledAccepts Medicare Assignment
633 BROOKDALE DR STE 100, STATESVILLE, NC 28677(704) 873-7850 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2022, Nov 9, 2021 (2 updates tracked since 2021).

About Kelly Dawkins Bumgardner Np-c NPPES

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

KELLY DAWKINS BUMGARDNER NP-C (NPI 1063178622) is an individual family provider in Statesville, North Carolina, licensed in North Carolina (5015740) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063178622
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY DAWKINS BUMGARDNERCredential: NP-C
Location Address633 BROOKDALE DR STE 100Statesville, NC 28677-3471
Mailing AddressPo Box 1845Statesville, NC 28687-1845 · (704) 873-4277
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 9, 2021
Last NPPES UpdateMarch 3, 20222 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
NPI 1063178622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NC · 5015740 Licensed in NC · BUMG-XQH6C
633 BROOKDALE DR STE 100, Statesville, NC 28677

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 and accepts Medicare assignment

Kelly Dawkins Bumgardner Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436544392
PECOS Enrollment IDI20220312000091
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28677 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 12

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

Internal Medicine (Interventional Cardiology)
633 BROOKDALE DR STE 100
STATESVILLE, NC 28677
Internal Medicine (Allergy & Immunology)
633 BROOKDALE DR STE 100
STATESVILLE, NC 28677
Nurse Practitioner (Family)
633 BROOKDALE DR STE 100
STATESVILLE, NC 28677
Physician Assistant
633 BROOKDALE DR STE 100
STATESVILLE, NC 28677
Nurse Practitioner (Family)
633 BROOKDALE DR STE 100
STATESVILLE, NC 28677
Nurse Practitioner (Family)
633 BROOKDALE DR STE 100
STATESVILLE, NC 28677
Internal Medicine (Cardiovascular Disease)
633 BROOKDALE DR STE 100
STATESVILLE, NC 28677
Internal Medicine (Rheumatology)
633 BROOKDALE DR STE 100
STATESVILLE, NC 28677

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 Kelly Bumgardner's NPI number?

The NPI number for Kelly Bumgardner is 1063178622. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Kelly Bumgardner located?

Kelly Bumgardner practices at 633 Brookdale Dr Ste 100, Statesville, NC 28677. The listed phone number is (704) 873-7850.

What is Kelly Bumgardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Bumgardner enrolled in Medicare?

Yes. Kelly Bumgardner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Bumgardner accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kelly Bumgardner 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.

Is Kelly Bumgardner affiliated with any hospitals?

According to CMS data, Kelly Bumgardner is affiliated with Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Kelly Bumgardner was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.