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ANGELA BROWN PETERKIN NP
NPI 1114443611
Nurse Practitioner - Family in Charlotte, NC

Active since August 16, 2017PECOS Enrolled
10030 ATKINS RIDGE DR, CHARLOTTE, NC 28213(704) 962-0797 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2018, Aug 16, 2017 (2 updates tracked since 2017).

About Angela Brown Peterkin Np NPPES

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

ANGELA BROWN PETERKIN NP (NPI 1114443611) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5009769) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114443611
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELA BROWN PETERKINCredential: NP
Location Address10030 ATKINS RIDGE DRCharlotte, NC 28213-4176
Mailing Address10030 Atkins Ridge DrCharlotte, NC 28213-4176 · (704) 962-0797
Phone(704) 962-0797
Sole ProprietorNo
Enumeration DateAugust 16, 2017
Last NPPES UpdateApril 10, 20182 updates tracked since enumeration
✔ NPI 1114443611 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
License✔ Licensed in NC · 5009769
10030 ATKINS RIDGE DR, Charlotte, NC 28213
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Brown Peterkin Np 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Angela Peterkin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Abode Care Partners Al Vb, LLC
178 mi
Nurse Practitioner
907 CUNNINGHAM RD
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 6 clinicians in this Medicare group
NPI 1164291480 (800) 807-6555
Abode Care Partners Ltc Vb, LLC
178 mi
Nurse Practitioner
907 CUNNINGHAM RD
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 9 clinicians in this Medicare group
NPI 1023445301 (800) 807-6555
Shc Medical Partners Of North Carolina, LLC
178 mi
Nurse Practitioner
907 CUNNINGHAM RD
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 6 clinicians in this Medicare group
NPI 1982465084 (800) 807-6555
Signify Health Medical Associates, PLLC
938 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, North Carolina enrollment
  • 728 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28213 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 Angela Peterkin's NPI number?

The NPI number for Angela Peterkin is 1114443611. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Angela Peterkin located?

Angela Peterkin practices at 10030 Atkins Ridge Dr, Charlotte, NC 28213. The listed phone number is (704) 962-0797.

What is Angela Peterkin's specialty?

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

Is Angela Peterkin enrolled in Medicare?

Yes. Angela Peterkin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Angela Peterkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Peterkin reassigns Medicare benefits to 4 organizations: Abode Care Partners Al Vb, LLC (Kinston, NC), Abode Care Partners Ltc Vb, LLC (Kinston, NC), Shc Medical Partners Of North Carolina, LLC (Kinston, NC) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Angela Peterkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angela Peterkin was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.