MRS. CARLY ANNE PEELER REGAN NP-C
NPI 1104192533
Nurse Practitioner in Clemmons, NC

Q: What is Carly Regan's NPI number?

The NPI number for Carly Regan is 1104192533. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Q: What is Carly Regan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carly Regan was last updated on March 11, 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.

Active since March 29, 2012PECOS Enrolled

6915 VILLAGE MEDICAL CIR, CLEMMONS, NC 27012(336) 718-1680 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Carly Anne Peeler Regan Np-c NPPES

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

MRS. CARLY ANNE PEELER REGAN NP-C (NPI 1104192533) is an individual nurse practitioner in Clemmons, North Carolina, licensed in North Carolina (5005579) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kernersville.

NPPES Registry Identity

NPI1104192533

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. CARLY ANNE PEELER REGANCredential: NP-C

Location Address6915 VILLAGE MEDICAL CIRClemmons, NC 27012-8002

Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 718-1680 · Fax (336) 718-1681

Phone(336) 718-1680

Sole ProprietorNo

Enumeration DateMarch 29, 2012

Last NPPES UpdateMarch 11, 2022

NPPES CertifiedMarch 11, 2022

✔ NPI 1104192533 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 · 5005579

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 ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 5005579 (NC)

6915 VILLAGE MEDICAL CIR, Clemmons, NC 27012

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Secondary Practice Location 1

Location 1900 Old Winston Rd Ste 222Kernersville, NC 27284-9965 · Phone (336) 992-1234 · Fax (336) 993-9963

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Carly Anne Peeler Regan Np-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27012 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 10

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

STEPHANIE CAUDLE DRAKER NP-C

Nurse Practitioner