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KIRSTEN L. PRESBY NP
NPI 1295173524
Nurse Practitioner in Charlotte, NC

Active since June 09, 2013PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
101 E W T HARRIS BLVD, CHARLOTTE, NC 28262(704) 863-9850 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 51 more (54 updates tracked since 2017).

About Kirsten L. Presby Np NPPES

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

KIRSTEN L. PRESBY NP (NPI 1295173524) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5006204) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1295173524
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIRSTEN L. PRESBYCredential: NP
Location Address101 E W T HARRIS BLVDCharlotte, NC 28262-3485
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 863-9850
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 9, 2013
Last NPPES UpdateJuly 15, 202454 updates tracked since enumeration
✔ NPI 1295173524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5006204
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
101 E W T HARRIS BLVD, 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 of North Carolina, Ambetter of Tennessee and more.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

Kirsten L. Presby Np 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 ID5799929394
PECOS Enrollment IDI20130923000189
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 6

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.
134 services64 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
86 services38 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.
71 services42 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
46 services26 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
38 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services30 patients

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, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

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.

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 20

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

SHIBIN THOMAS JACOB MD
Internal Medicine (Pulmonary Disease)
101 E W T HARRIS BLVD, BLDG 5000 SUITE #5101
CHARLOTTE, NC 28262
Mecklenburg County (704) 863-5847
GEOFFREY ANDREW ROSE MD
Internal Medicine (Cardiovascular Disease)
101 E W T HARRIS BLVD, STE 1213
CHARLOTTE, NC 28262
Mecklenburg County (704) 863-1950
BRYAN C. ADAMS MD
Pediatrics
101 E W T HARRIS BLVD, STE 1121
CHARLOTTE, NC 28262
Mecklenburg County (704) 717-2000
AMANDA L. MCDOWELL IVEY MD
Pediatrics
101 E W T HARRIS BLVD, STE 1121
CHARLOTTE, NC 28262
Mecklenburg County (704) 717-2000
ANDY YOUNG JIN KIM NP
Nurse Practitioner
101 E W T HARRIS BLVD
CHARLOTTE, NC 28262
Mecklenburg County (704) 863-9850
DR. KATHLEEN MARIE REARDON MD
Pediatrics
101 E W T HARRIS BLVD, SUITE 1121
CHARLOTTE, NC 28262
Mecklenburg County (704) 717-2000
JOHN STUART SALMON MD
Internal Medicine (Hematology)
101 E W T HARRIS BLVD, STE 5500
CHARLOTTE, NC 28262
Mecklenburg County (704) 863-6160
RICHARD BOESEL MD
Obstetrics & Gynecology
101 E W T HARRIS BLVD, STE 2320
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-0858

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 Kirsten Presby's NPI number?

The NPI number for Kirsten Presby is 1295173524. It was assigned to this individual provider in the NPPES registry on June 9, 2013.

Where is Kirsten Presby located?

Kirsten Presby practices at 101 E W T Harris Blvd, Charlotte, NC 28262. The listed phone number is (704) 863-9850.

What is Kirsten Presby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kirsten Presby enrolled in Medicare?

Yes. Kirsten Presby 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 Kirsten Presby 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 Kirsten Presby 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 Kirsten Presby affiliated with any hospitals?

According to CMS data, Kirsten Presby is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Kirsten Presby 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.