DR. ELIZABETH RENEE PREVETTE ANP-BC, DACHM
NPI 1184642415
Nurse Practitioner in Charlotte, NC

Q: What is Elizabeth Prevette's NPI number?

The NPI number for Elizabeth Prevette is 1184642415. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Elizabeth Prevette's specialty?

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

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment

6324 FAIRVIEW RD STE 310, CHARLOTTE, NC 28210(980) 302-8680(980) 302-8681 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2025, Feb 19, 2025 (2 updates tracked since 2025).

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About Dr. Elizabeth Renee Prevette Anp-bc, Dachm NPPES

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

DR. ELIZABETH RENEE PREVETTE ANP-BC, DACHM (NPI 1184642415) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5021705) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains a secondary practice location in Mesa.

NPPES Registry Identity

NPI1184642415

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDR. ELIZABETH RENEE PREVETTECredential: ANP-BC, DACHM

Location Address6324 FAIRVIEW RD STE 310Charlotte, NC 28210-4172

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(980) 302-8680

Fax(980) 302-8681

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 17, 2006

Last NPPES UpdateApril 9, 20252 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1184642415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5021705

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.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP2416 (AZ)

6324 FAIRVIEW RD STE 310, Charlotte, NC 28210

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Secondary Practice Location 1

Location 11705 W Main StMesa, AZ 85201-6920 · Phone (480) 964-2273 · Fax (480) 718-9477

Other Identifiers 1

Medicaid119371AZ

Accepted Insurance

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

Dr. Elizabeth Renee Prevette Anp-bc, Dachm 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 ID1456356344

PECOS Enrollment IDI20250310003268

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

Medicare enrollment records show Elizabeth Prevette reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Medical Group, Inc.

Same address

Cardiovascular Disease

6324 FAIRVIEW RD STE 400
Charlotte, NC 28210

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Novant Health Medical Group, LLC
2,998 clinicians in this Medicare group

NPI 1083251300 (980) 302-8659

District Medical Group, Inc

1,771 mi

Psychiatry

570 W BROWN RD, ADMINISTRATION
Mesa, AZ 85201

Reassigned Medicare billing, Arizona enrollment
1,490 clinicians in this Medicare group

NPI 1437482544 (480) 344-2000

Adelante Healthcare, Inc.

1,772 mi

Federally Qualified Health Center (FQHC)

1705 W MAIN ST
Mesa, AZ 85201

Reassigned Medicare billing, Arizona enrollment
234 clinicians in this Medicare group

NPI 1891853446 (480) 964-2273

Arizona Acute Medical Services 1 PC

1,781 mi

Hospitalist

1930 E THOMAS RD
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
302 clinicians in this Medicare group

NPI 1154860674 (602) 532-1000

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

Hospital Affiliations CMS Care Compare 4

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

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340171

Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County

Emergency services Birthing friendly

Novant Health Huntersville Medical Center

Acute Care Hospitals · Huntersville, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340183

Location10030 Gilead RoadHuntersville, NC 28078 · Mecklenburg County

Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340190

Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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 10

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

NIKITA JAIN MD

Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)