MRS. DALENA MAE CUSTER PA-C
NPI 1184706806
Physician Assistant in Charlotte, NC

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
10635 PARK RD STE I, CHARLOTTE, NC 28210(704) 495-6334 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2026, Jan 5, 2026, Nov 17, 2025 and 1 more (4 updates tracked since 2025).

About Mrs. Dalena Mae Custer Pa-c NPPES

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

MRS. DALENA MAE CUSTER PA-C (NPI 1184706806) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-00302) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1184706806
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. DALENA MAE CUSTERCredential: PA-C
Location Address10635 PARK RD STE ICharlotte, NC 28210-8408
Mailing Address5960 Fairview Rd Ste 500Charlotte, NC 28210-3113 · (704) 495-6334
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 20, 2006
Last NPPES UpdateMay 7, 20264 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
NPI 1184706806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-00302
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 001000302 (NC)
10635 PARK RD STE I, Charlotte, NC 28210

Other Names 1

Former Name (1)Dalena Mae Wenner Pa-c

Secondary Practice Locations 2

Location 110620 Park Rd Ste 128Charlotte, NC 28210-0106 · Phone (704) 542-6111
Location 22711 X Ray DrGastonia, NC 28054-7491 · Phone (704) 834-2420 · Fax (704) 834-2426

Accepted 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

Mrs. Dalena Mae Custer Pa-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 ID5294835344
PECOS Enrollment IDI20070703000259
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.

Areas of Expertise CMS Part B claims 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
382 services157 patients
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.
116 services84 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
15 services14 patients

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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers21 claims47 services$4.64 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims14 services$1.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

Internal Medicine
10635 PARK RD STE I
CHARLOTTE, NC 28210
Physician Assistant
10635 PARK RD STE I
CHARLOTTE, NC 28210
Internal Medicine
10635 PARK RD STE I
CHARLOTTE, NC 28210
Internal Medicine
10635 PARK RD STE I
CHARLOTTE, NC 28210
Internal Medicine
10635 PARK RD STE I
CHARLOTTE, NC 28210
Internal Medicine
10635 PARK RD STE I
CHARLOTTE, NC 28210
Internal Medicine
10635 PARK RD STE I
CHARLOTTE, NC 28210
Dermatology
10635 PARK RD STE I
CHARLOTTE, NC 28210

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 Dalena Custer's NPI number?

The NPI number for Dalena Custer is 1184706806. It was assigned to this individual provider in the NPPES registry on October 20, 2006. The provider is also known as Dalena Mae Wenner Pa-C.

Where is Dalena Custer located?

Dalena Custer practices at 10635 Park Rd Ste I, Charlotte, NC 28210. The listed phone number is (704) 495-6334.

What is Dalena Custer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dalena Custer enrolled in Medicare?

Yes. Dalena Custer 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 Dalena Custer accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Dalena Custer 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 Dalena Custer was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.