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CARLY APPLEBAUM
NPI 1306775911
Physician Assistant in Statesville, NC

Active since May 18, 2026PECOS Enrolled
1405 FERN CREEK DR, STATESVILLE, NC 28625(704) 659-7866(877) 881-8455 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 29, 2026, May 18, 2026 (2 updates tracked since 2026).

About Carly Applebaum NPPES

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

CARLY APPLEBAUM (NPI 1306775911) is an individual physician assistant in Statesville, North Carolina and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Huntersville.

NPPES Registry Identity

NPI1306775911
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLY APPLEBAUM
Location Address1405 FERN CREEK DRStatesville, NC 28625-9376
Mailing Address1037 Panola RdWinston Salem, NC 27106-3695
Phone(704) 659-7866
Fax(877) 881-8455
Sole ProprietorNo
Enumeration DateMay 18, 2026
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1306775911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1405 FERN CREEK DR, Statesville, NC 28625
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Secondary Practice Location 1

Location 19930 Kincey Ave Ste 165Huntersville, NC 28078-6541 · Phone (704) 947-5005 · Fax (877) 881-8455

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Applebaum 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28625 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
$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.

Other Providers at the Same Location NPPES 3

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

HELENA BUI
Physician Assistant
1405 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 659-7866
KATIE BROWN NP-C
Nurse Practitioner (Family)
1405 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 659-7866
JENNA BEEBE PA-C
Physician Assistant (Medical)
1405 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 659-7866

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 Carly Applebaum's NPI number?

The NPI number for Carly Applebaum is 1306775911. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Where is Carly Applebaum located?

Carly Applebaum practices at 1405 Fern Creek Dr, Statesville, NC 28625. The listed phone number is (704) 659-7866.

What is Carly Applebaum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carly Applebaum enrolled in Medicare?

Yes. Carly Applebaum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carly Applebaum was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.