HOLLY TADLOCK RABON AGACNP-BC
NPI 1114689791
Nurse Practitioner in Charlotte, NC

Active since October 11, 2021PECOS EnrolledAccepts Medicare Assignment
125 QUEENS RD STE 200, CHARLOTTE, NC 28204(704) 343-9800(704) 347-2011 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2023, Dec 21, 2021, Oct 11, 2021 (3 updates tracked since 2021).

About Holly Tadlock Rabon Agacnp-bc NPPES

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

HOLLY TADLOCK RABON AGACNP-BC (NPI 1114689791) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5015201) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1114689791
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHOLLY TADLOCK RABONCredential: AGACNP-BC
Location Address125 QUEENS RD STE 200Charlotte, NC 28204-3215
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 343-9800 · Fax (704) 347-2011
Fax(704) 347-2011
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 11, 2021
Last NPPES UpdateJuly 21, 20233 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
NPI 1114689791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5015201
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.

125 QUEENS RD STE 200, Charlotte, NC 28204

Secondary Practice Location 1

Location 1200 Hawthorne LnCharlotte, NC 28204-2515 · Phone (704) 384-4000

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

Holly Tadlock Rabon Agacnp-bc 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 ID6103218169
PECOS Enrollment IDI20220125000644
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
140 services58 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services19 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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 20

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

Internal Medicine (Cardiovascular Disease)
125 QUEENS RD STE 200
CHARLOTTE, NC 28204
Physician Assistant
125 QUEENS RD STE 200
CHARLOTTE, NC 28204
Physician Assistant
125 QUEENS RD STE 200
CHARLOTTE, NC 28204
Internal Medicine (Cardiovascular Disease)
125 QUEENS RD STE 200
CHARLOTTE, NC 28204
Internal Medicine (Interventional Cardiology)
125 QUEENS RD STE 200
CHARLOTTE, NC 28204
Internal Medicine (Cardiovascular Disease)
125 QUEENS RD STE 200
CHARLOTTE, NC 28204
Internal Medicine (Clinical Cardiac Electrophysiology)
125 QUEENS RD STE 200
CHARLOTTE, NC 28204
Internal Medicine (Interventional Cardiology)
125 QUEENS RD STE 200
CHARLOTTE, NC 28204

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 Holly Rabon's NPI number?

The NPI number for Holly Rabon is 1114689791. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Where is Holly Rabon located?

Holly Rabon practices at 125 Queens Rd Ste 200, Charlotte, NC 28204. The listed phone number is (704) 343-9800.

What is Holly Rabon's specialty?

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

Is Holly Rabon enrolled in Medicare?

Yes. Holly Rabon 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 Holly Rabon accept?

Health plans from Blue Cross and Blue Shield of NC list Holly Rabon 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 Holly Rabon affiliated with any hospitals?

According to CMS data, Holly Rabon is affiliated with Novant Health Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Holly Rabon was last updated on July 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.