KATELYN ELIZABETH NELLER MD
NPI 1073373197
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Katelyn Neller's NPI number?

The NPI number for Katelyn Neller is 1073373197. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Q: What is Katelyn Neller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Neller was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 March 19, 2024PECOS Enrolled

2001 VAIL AVE, CHARLOTTE, NC 28207(704) 304-7000(704) 304-7008 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Katelyn Elizabeth Neller Md NPPES

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

KATELYN ELIZABETH NELLER MD (NPI 1073373197) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073373197

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKATELYN ELIZABETH NELLERCredential: MD

Location Address2001 VAIL AVECharlotte, NC 28207-1248

Mailing Address2001 Vail AveCharlotte, NC 28207-1248 · (704) 304-7000 · Fax (704) 304-7008

Phone(704) 304-7000

Fax(704) 304-7008

Sole ProprietorNo

Enumeration DateMarch 19, 2024

Last NPPES UpdateSeptember 1, 2025

NPPES CertifiedSeptember 1, 2025

✔ NPI 1073373197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2001 VAIL AVE, Charlotte, NC 28207

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Elizabeth Neller Md 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.

Other Providers at the Same Location NPPES 20

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

LESLIE KAY RUFFING ADCOCK MD

Family Medicine

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

TAYLOR DEREK JOHNSON MD

Anesthesiology

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-5000

JENNIFER J CLINE PT

Physical Therapist

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 379-5837

VISHALAKSHI KALYANA SUNDARAM MD

Family Medicine

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

KRYSTENE LYNN HELGESON PA

Physician Assistant

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-6070

ESTHER REBECCA LANDIS HAYES MD

Family Medicine

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

SHENA S PATEL PT

Physical Therapist

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 379-5632

DUPAL PATEL MD

Family Medicine (Geriatric Medicine)

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

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 Katelyn Neller's NPI number?

The NPI number for Katelyn Neller is 1073373197. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Katelyn Neller located?

Katelyn Neller practices at 2001 Vail Ave, Charlotte, NC 28207. The listed phone number is (704) 304-7000.

What is Katelyn Neller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Katelyn Neller enrolled in Medicare?

Yes. Katelyn Neller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katelyn Neller was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.