KAELYN NICOLE SEXTON CNM
NPI 1164066775
Advanced Practice Midwife in Gastonia, NC
About Kaelyn Nicole Sexton Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAELYN NICOLE SEXTON CNM (NPI 1164066775) is an individual advanced practice midwife in Gastonia, North Carolina, licensed in North Carolina (745) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaelyn Nicole Sexton Cnm 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kaelyn Sexton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gastonia, NC 28054
- Reassigned Medicare billing, North Carolina enrollment
- 673 clinicians in this Medicare group
Gastonia, NC 28054
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 clinicians in this Medicare group
Charlotte, NC 28203
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Obhg North Carolina PC
- 196 clinicians in this Medicare group
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 28054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Kaelyn Sexton's NPI number?
The NPI number for Kaelyn Sexton is 1164066775. It was assigned to this individual provider in the NPPES registry on November 6, 2019.
Where is Kaelyn Sexton located?
Kaelyn Sexton practices at 2525 Court Dr, Gastonia, NC 28054. The listed phone number is (704) 834-2000.
What is Kaelyn Sexton's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Kaelyn Sexton enrolled in Medicare?
Yes. Kaelyn Sexton 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.
Which organizations bill Medicare for Kaelyn Sexton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaelyn Sexton reassigns Medicare benefits to 3 organizations: Caromont Medical Group Inc (Gastonia, NC), Carolinas Physicians Network Inc (Gastonia, NC) and Obhg North Carolina, P.C. (Charlotte, NC). 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 Kaelyn Sexton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaelyn Sexton accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Kaelyn Sexton 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.
When was this NPI record last updated?
The NPPES record for Kaelyn Sexton was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kaelyn Nicole Sexton, CNM · NPI 1164066775
Advanced Practice Midwife physician in Gastonia, North Carolina. Individual provider, active in the CMS NPPES registry since November 6, 2019.
## Identity
- **NPI:** 1164066775 (Entity type: Individual)
- **Enumerated:** November 6, 2019
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 745 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2525 COURT DR, Gastonia, NC 28054-2140
- **Phone:** (704) 834-2000 · **Fax:** (704) 834-2500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Caromont Medical Group Inc (NPI 1073891719, Gastonia, NC); Carolinas Physicians Network Inc (NPI 1801188941, Gastonia, NC); Obhg North Carolina, P.C. (NPI 1124300876, Charlotte, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164066775) · Data from the CMS NPPES public registry.