KRISTIN NICOLE BODDU DNP, APRN, FNP-C
NPI 1245735018
Nurse Practitioner - Family in Charlotte, NC

Q: What is Kristin Boddu's NPI number?

The NPI number for Kristin Boddu is 1245735018. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Q: What is Kristin Boddu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristin Boddu was last updated on September 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment

10620 PARK RD STE 202, CHARLOTTE, NC 28210(704) 512-3988 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 5, 2024, Mar 29, 2018 (2 updates tracked since 2018).

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About Kristin Nicole Boddu Dnp, Aprn, Fnp-c NPPES

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

KRISTIN NICOLE BODDU DNP, APRN, FNP-C (NPI 1245735018) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5011114) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245735018

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTIN NICOLE BODDUCredential: DNP, APRN, FNP-C

Location Address10620 PARK RD STE 202Charlotte, NC 28210-0106

Mailing Address925 Tremore Club DrBurlington, NC 27215-9334 · (404) 276-9462

Phone(704) 512-3988

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 26, 2018

Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2024

✔ NPI 1245735018 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

License✔ Licensed in NC · 5011114

10620 PARK RD STE 202, Charlotte, NC 28210

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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.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 Nicole Boddu Dnp, 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 ID8820348485

PECOS Enrollment IDI20190123004295

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

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.

17 services17 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

$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.

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Other Providers at the Same Location NPPES 18

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

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