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KRISTIN KUSHWAHA M.D.
NPI 1164764239
Pediatrics in Clayton, NC

Active since March 26, 2013PECOS EnrolledAccepts Medicare Assignment
104 MEDSPRING DR STE 100, CLAYTON, NC 27520(919) 359-3500(919) 359-3501 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 31, 2023, Jun 14, 2023, May 25, 2019 (3 updates tracked since 2019).

About Kristin Kushwaha M.d. NPPES

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

KRISTIN KUSHWAHA M.D. (NPI 1164764239) is an individual pediatrics provider in Clayton, North Carolina, licensed in Missouri (2013017006) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Brody School Of Medicine At East Carolina University (2013).

NPPES Registry Identity

NPI1164764239
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKRISTIN KUSHWAHACredential: M.D.
Location Address104 MEDSPRING DR STE 100Clayton, NC 27520-9687
Mailing Address2406 Blue Ridge Rd Ste 100Raleigh, NC 27607-6692 · (919) 786-5001 · Fax (919) 786-5051
Phone(919) 359-3500
Fax(919) 359-3501
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2013
Enumeration DateMarch 26, 2013
Last NPPES UpdateAugust 31, 20233 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
✔ NPI 1164764239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2013017006
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
104 MEDSPRING DR STE 100, Clayton, NC 27520
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Other Names 1

Former Name (1)Kristin Nicole Carpenter

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Kristin Kushwaha M.d. 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 ID3072815307
PECOS Enrollment IDI20240213001376
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 27520 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 6

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

ALYSSA ANN JENKINS SCHUETT M.D.
Pediatrics
104 MEDSPRING DR STE 100
CLAYTON, NC 27520
Johnston County (919) 359-3500
SAMANTHA ALICE CAMPBELL DO
Pediatrics
104 MEDSPRING DR STE 100
CLAYTON, NC 27520
Johnston County (252) 744-2335
DAWN ELIZABETH SCOTT M.D.
Pediatrics
104 MEDSPRING DR STE 100
CLAYTON, NC 27520
Johnston County (919) 359-3500
JOUEL TAYLOR
Nurse Practitioner
104 MEDSPRING DR STE 100
CLAYTON, NC 27520
Johnston County (919) 359-3500
KIRABO HERBERT
Pediatrics
104 MEDSPRING DR STE 100
CLAYTON, NC 27520
Johnston County (919) 359-3500
DR. CHRISTIANA AKWARI MD
Pediatrics
104 MEDSPRING DR STE 100
CLAYTON, NC 27520
Johnston County (919) 359-3500

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 Kristin Kushwaha's NPI number?

The NPI number for Kristin Kushwaha is 1164764239. It was assigned to this individual provider in the NPPES registry on March 26, 2013. The provider is also known as Kristin Nicole Carpenter.

Where is Kristin Kushwaha located?

Kristin Kushwaha practices at 104 Medspring Dr Ste 100, Clayton, NC 27520. The listed phone number is (919) 359-3500.

What is Kristin Kushwaha's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kristin Kushwaha enrolled in Medicare?

Yes. Kristin Kushwaha 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 Kristin Kushwaha accept?

Health plans from Blue Cross and Blue Shield of NC list Kristin Kushwaha 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 Kristin Kushwaha was last updated on August 31, 2023. 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.