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KELLY LYNN HELTON MS, APRN, FNP-C
NPI 1184056939
Nurse Practitioner - Family in Fayetteville, NC

Active since August 04, 2013PECOS EnrolledAccepts Medicare Assignment
3601 CAPE CENTER DR, FAYETTEVILLE, NC 28304(910) 484-3101(901) 484-7133 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Lynn Helton Ms, Aprn, Fnp-c NPPES

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

KELLY LYNN HELTON MS, APRN, FNP-C (NPI 1184056939) is an individual family provider in Fayetteville, North Carolina, licensed in North Carolina (5008143) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2008).

NPPES Registry Identity

NPI1184056939
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY LYNN HELTONCredential: MS, APRN, FNP-C
Location Address3601 CAPE CENTER DRFayetteville, NC 28304-4457
Mailing Address3601 Cape Center DrFayetteville, NC 28304-4457 · (910) 484-3101 · Fax (901) 484-7133
Phone(910) 484-3101
Fax(901) 484-7133
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2008
Enumeration DateAugust 4, 2013
Last NPPES UpdateOctober 29, 2015
✔ NPI 1184056939 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 · 5008143✔ Licensed in OH · COA.14723-NP
3601 CAPE CENTER DR, Fayetteville, NC 28304
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Accepted Insurance

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

Kelly Lynn Helton Ms, Aprn, Fnp-c 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 ID3173767589
PECOS Enrollment IDI20160504002217
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

3

Medicare enrollment records show Kelly Helton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Birth And Womens Care PA
Same address
Obstetrics & Gynecology
3601 CAPE CENTER DRIVE
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1124089040 (910) 484-3101
Firsthealth Dental Care Center
18 mi
Dental
314 TEAL DR
Raeford, NC 28376
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Firsthealth Of The Carolinas Inc
  • 151 clinicians in this Medicare group
NPI 1376513622 (910) 904-7450
Mcpc-12, LLC
30 mi
Urogynecology and Reconstructive Pelvic Surgery
145 APPLECROSS RD
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 51 clinicians in this Medicare group
NPI 1003650391 (910) 692-7928

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

Areas of Expertise CMS Part B claims

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services12 patients

Hospital Affiliations CMS Care Compare

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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.

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.

Reported Quality Measures

Breast Cancer Screening
74%103 patients4/55-star benchmark: 93%
Cervical Cancer Screening
81%1,214 patients4/55-star benchmark: 98%
Controlling High Blood Pressure
39%137 patients2/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%1,129 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
32%3,287 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,161 patients
0%1,161 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

BIRTH AND WOMEN'S CARE PA
Obstetrics & Gynecology
3601 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 484-3101
MARLO REBECCA SHARP CNM
Advanced Practice Midwife
3601 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 484-3101
CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
Obstetrics & Gynecology
3601 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 484-3101

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 Kelly Helton's NPI number?

The NPI number for Kelly Helton is 1184056939. It was assigned to this individual provider in the NPPES registry on August 4, 2013.

Where is Kelly Helton located?

Kelly Helton practices at 3601 Cape Center Dr, Fayetteville, NC 28304. The listed phone number is (910) 484-3101.

What is Kelly Helton's specialty?

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

Is Kelly Helton enrolled in Medicare?

Yes. Kelly Helton 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 Kelly Helton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Helton reassigns Medicare benefits to 3 organizations: Birth And Womens Care PA (Fayetteville, NC), Firsthealth Dental Care Center (Raeford, NC) and Mcpc-12, LLC (Pinehurst, 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 Kelly Helton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Helton accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Kelly Helton 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 Kelly Helton affiliated with any hospitals?

According to CMS data, Kelly Helton is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Helton was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.