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LASHANDRA NICOLE DUNCAN DNP, FNP-BC,PMHNP-BC
NPI 1255679049
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since January 29, 2013PECOS Enrolled
8401 MEDICAL PLAZA DR STE 300, CHARLOTTE, NC 28262(704) 316-6561 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2025, Sep 30, 2015 (2 updates tracked since 2015).

About Lashandra Nicole Duncan Dnp, Fnp-bc,pmhnp-bc NPPES

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

LASHANDRA NICOLE DUNCAN DNP, FNP-BC,PMHNP-BC (NPI 1255679049) is an individual psychiatric/mental health provider in Charlotte, North Carolina, licensed in North Carolina (5020063) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255679049
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLASHANDRA NICOLE DUNCANCredential: DNP, FNP-BC,PMHNP-BC
Location Address8401 MEDICAL PLAZA DR STE 300Charlotte, NC 28262-8702
Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483 · Fax (617) 807-0958
Phone(704) 316-6561
Sole ProprietorNo
Enumeration DateJanuary 29, 2013
Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1255679049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5020063
Also ListedRegistered NurseTaxonomy 163W00000X · License 357984 (OH)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5020063 (NC)
8401 MEDICAL PLAZA DR STE 300, Charlotte, NC 28262
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lashandra Nicole Duncan Dnp, Fnp-bc,pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Lashandra Duncan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Charlotte Community Health Clinic, Inc.
Same address
Federally Qualified Health Center (FQHC)
8401 MEDICAL PLAZA DR STE 300
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
  • 29 clinicians in this Medicare group
NPI 1528363868 (704) 316-6561
The Healthcare Connection, Inc
319 mi
Federally Qualified Health Center (FQHC)
43 E MAIN ST
Amelia, OH 45102
  • Reassigned Medicare billing, Ohio enrollment
  • 38 clinicians in this Medicare group
NPI 1457710154 (513) 947-7005

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 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
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
58%40 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
48%66 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
14%29 patients1/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
14%303 patients1/55-star benchmark: 88%
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 10

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

MRS. MAITE MISHEL VELAZQUEZ HERNANDEZ PA-C
Physician Assistant
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6561
DR. NGA TRAN MD
Pediatrics
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6574
DR. MICHELLE HEWLETT WYNN MD
Pediatrics
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6561
DR. HILARY L CANIPE MD
Family Medicine
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6561
RACHAEL VAUGHN PENNELL MSW, LCSW-A
Social Worker (Clinical)
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6561
DR. JONATHAN WILLIAM BUTLER MD, M.ED.
Family Medicine (Addiction Medicine)
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6561
CHARLOTTE COMMUNITY HEALTH CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6561
SALEEMA SAMARA EL-AMIN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6561

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 Lashandra Duncan's NPI number?

The NPI number for Lashandra Duncan is 1255679049. It was assigned to this individual provider in the NPPES registry on January 29, 2013.

Where is Lashandra Duncan located?

Lashandra Duncan practices at 8401 Medical Plaza Dr Ste 300, Charlotte, NC 28262. The listed phone number is (704) 316-6561.

What is Lashandra Duncan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lashandra Duncan enrolled in Medicare?

Yes. Lashandra Duncan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lashandra Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lashandra Duncan reassigns Medicare benefits to 2 organizations: Charlotte Community Health Clinic, Inc. (Charlotte, NC) and The Healthcare Connection, Inc (Amelia, OH). 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 Lashandra Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lashandra Duncan 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 Lashandra Duncan 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 Lashandra Duncan was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.