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STACI D BURRELL FNP
NPI 1114953106
Nurse Practitioner - Family in Charlotte, NC

Active since June 23, 2006PECOS Enrolled
3125 SPRINGBANK LN STE A, CHARLOTTE, NC 28226(704) 752-9346(704) 235-1666 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Staci D Burrell Fnp NPPES

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

STACI D BURRELL FNP (NPI 1114953106) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (201126) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rock Hill.

NPPES Registry Identity

NPI1114953106
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACI D BURRELLCredential: FNP
Location Address3125 SPRINGBANK LN STE ACharlotte, NC 28226-3379
Mailing Address3125 Springbank Ln Ste ACharlotte, NC 28226-3379 · (803) 517-8478 · Fax (704) 235-1666
Phone(704) 752-9346
Fax(704) 235-1666
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateJuly 30, 2024
NPPES CertifiedJuly 30, 2024
✔ NPI 1114953106 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 · 201126✔ Licensed in SC · 1143
3125 SPRINGBANK LN STE A, Charlotte, NC 28226
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Secondary Practice Location 1

Location 1101 Sedgewood DrRock Hill, SC 29732-2315 · Phone (803) 328-9300 ext. 5173 · Fax (803) 327-2179

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Staci D Burrell Fnp 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 28226 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 2

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

MRS. NICOLE M BENTIVEGNA NP-C
Nurse Practitioner (Adult Health)
3125 SPRINGBANK LN STE A
CHARLOTTE, NC 28226
Mecklenburg County (704) 752-9346
SARAH ANDERSON ANP-BC
Nurse Practitioner (Adult Health)
3125 SPRINGBANK LN STE A
CHARLOTTE, NC 28226
Mecklenburg County (704) 752-9346

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 Staci Burrell's NPI number?

The NPI number for Staci Burrell is 1114953106. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Staci Burrell located?

Staci Burrell practices at 3125 Springbank Ln Ste A, Charlotte, NC 28226. The listed phone number is (704) 752-9346.

What is Staci Burrell's specialty?

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

Is Staci Burrell enrolled in Medicare?

Yes. Staci Burrell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Staci Burrell was last updated on July 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.