KELLEY HOWARD ROUSE MD
NPI 1245349497
Obstetrics & Gynecology in Charlotte, NC
About Kelley Howard Rouse Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY HOWARD ROUSE MD (NPI 1245349497) is an individual obstetrics & gynecology provider in Charlotte, North Carolina, licensed in North Carolina (2006-01097) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
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
Kelley Howard Rouse Md 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
2Medicare enrollment records show Kelley Rouse reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlotte, NC 28216
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 clinicians in this Medicare group
Charlotte, NC 28208
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28216 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 Kelley Rouse's NPI number?
The NPI number for Kelley Rouse is 1245349497. It was assigned to this individual provider in the NPPES registry on August 30, 2006.
Where is Kelley Rouse located?
Kelley Rouse practices at 9908 Couloak Dr Ste 201, Charlotte, NC 28216. The listed phone number is (704) 801-2075.
What is Kelley Rouse's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Kelley Rouse enrolled in Medicare?
Yes. Kelley Rouse 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 Kelley Rouse's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Rouse reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Charlotte, NC) and Carolinas Medical Center (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 Kelley Rouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelley Rouse accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 4 other insurers list Kelley Rouse 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 Kelley Rouse affiliated with any hospitals?
According to CMS data, Kelley Rouse is affiliated with Carolinas Medical Center/Behav Health.
When was this NPI record last updated?
The NPPES record for Kelley Rouse was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kelley Howard Rouse, MD · NPI 1245349497
Obstetrics & Gynecology physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1245349497 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 2006-01097 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 9908 COULOAK DR, STE 201, Charlotte, NC 28216-8678
- **Phone:** (704) 801-2075
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carolinas Physicians Network Inc (NPI 1366522369, Charlotte, NC); Carolinas Medical Center (NPI 1063567428, Charlotte, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 2000
## Record status
- **NPPES last updated:** May 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245349497) · Data from the CMS NPPES public registry.