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NIKKI KOKLANARIS MD
NPI 1265447742
Obstetrics & Gynecology in Charlotte, NC

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
905 KENILWORTH AVE, UNIT A, CHARLOTTE, NC 28204(704) 355-3149 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 50 more (53 updates tracked since 2016).

About Nikki Koklanaris Md NPPES

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

NIKKI KOKLANARIS MD (NPI 1265447742) is an individual obstetrics & gynecology provider in Charlotte, North Carolina, licensed in North Carolina (2006-00794) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Temple University School Of Medicine (1999).

NPPES Registry Identity

NPI1265447742
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNIKKI KOKLANARISCredential: MD
Location Address905 KENILWORTH AVE, UNIT ACharlotte, NC 28204-1015
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 355-3149
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1999
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 15, 202453 updates tracked since enumeration
✔ NPI 1265447742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 2006-00794
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X · License 2006-00794 (NC)
905 KENILWORTH AVE, Charlotte, NC 28204
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1251 Eastway DrCharlotte, NC 28213-7103 · Phone (704) 446-9991
Location 2200 Medical Park Dr, Ste 250Concord, NC 28025-2982 · Phone (704) 403-4189
Location 31350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1544
Location 41025 Morehead Medical Dr, Ste 500 FL 5Charlotte, NC 28204-2963 · Phone (704) 355-3149

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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 and accepts Medicare assignment

Nikki Koklanaris 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.

PECOS PAC ID4284536459
PECOS Enrollment IDI20061013000585
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

3

Medicare enrollment records show Nikki Koklanaris reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc
Same address
Internal Medicine
1237 HARDING PL, STE 2600
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1396928230 (North Carolina)
  • 1,646 clinicians in this Medicare group
NPI 1205848520 (704) 590-6770
The Charlotte-Mecklenburg Hospital Authority
Same address
Internal Medicine
1237 HARDING PL, STE 3300
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1598135188 (704) 446-5860
Carolinas Medical Center
0.2 mi
Surgical Critical Care
1025 MOREHEAD MEDICAL DR, STE 500
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1699979732 (704) 347-4033

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 28204 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

LEAH RACHEL CARNICK LEDFORD NP
Nurse Practitioner
905 KENILWORTH AVE, UNIT A
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-3149
REBECCA IDA POLLACK MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
905 KENILWORTH AVE, UNIT A
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-3149
MARY KATHLEEN FINNIGAN FNP
Nurse Practitioner (Family)
905 KENILWORTH AVE, UNIT A
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-3149
AARON MATTHEW DOM MD
Obstetrics & Gynecology
905 KENILWORTH AVE, UNIT A
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-3149
KRISTINE AUGUSTA HEFFELFINGER PA
Physician Assistant
905 KENILWORTH AVE, UNIT A
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-3149
REBECCA ALISON MOKHIBER PIERCE-WILLIAMS DO
Obstetrics & Gynecology (Maternal & Fetal Medicine)
905 KENILWORTH AVE, UNIT A
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-3149
NGINA KAI CONNORS MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
905 KENILWORTH AVE, UNIT A
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-3149
JULIO FERNANDO MATEUS NINO MD
Obstetrics & Gynecology
905 KENILWORTH AVE, UNIT A
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-3149

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 Nikki Koklanaris's NPI number?

The NPI number for Nikki Koklanaris is 1265447742. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Nikki Koklanaris located?

Nikki Koklanaris practices at 905 Kenilworth Ave Unit A, Charlotte, NC 28204. The listed phone number is (704) 355-3149.

What is Nikki Koklanaris's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nikki Koklanaris enrolled in Medicare?

Yes. Nikki Koklanaris 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 Nikki Koklanaris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikki Koklanaris reassigns Medicare benefits to 3 organizations: Carolinas Physicians Network Inc (Charlotte, NC), The Charlotte-Mecklenburg Hospital Authority (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 Nikki Koklanaris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikki Koklanaris accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Nikki Koklanaris 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 Nikki Koklanaris was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.