PATRICIA LYN NUSE MD
NPI 1306816194
Pediatrics in Harrisburg, NC

Active since January 24, 2006PECOS Enrolled
5427 NC HIGHWAY 49 S, STE 103, HARRISBURG, NC 28075(704) 455-5565 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 37 more (40 updates tracked since 2018).

About Patricia Lyn Nuse Md NPPES

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

PATRICIA LYN NUSE MD (NPI 1306816194) is an individual pediatrics provider in Harrisburg, North Carolina, licensed in North Carolina (9800990) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of West Virginia University School Of Medicine (1994).

NPPES Registry Identity

NPI1306816194
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePATRICIA LYN NUSECredential: MD
Location Address5427 NC HIGHWAY 49 S, STE 103Harrisburg, NC 28075-7408
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1994
Enumeration DateJanuary 24, 2006
Last NPPES UpdateJuly 15, 202440 updates tracked since enumeration
NPPES CertifiedMarch 4, 2020
✔ NPI 1306816194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 9800990
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 9800990 (NC)
5427 NC HIGHWAY 49 S, Harrisburg, NC 28075

Secondary Practice Locations 3

Location 13173 W Highway 74Monroe, NC 28110-8437 · Phone (704) 283-2000
Location 21900 Scott Ave, Ste 200Charlotte, NC 28203-6046 · Phone (704) 381-0280
Location 31350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1422

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia Lyn Nuse Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971542275
PECOS Enrollment IDI20251105004487
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

6

Medicare enrollment records show Patricia Nuse reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
4315 PHYSICIANS BLVD, STE 101
Harrisburg, NC 28075
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1366765893 (North Carolina)
  • 1,646 clinicians in this Medicare group
Pediatrics
101 E W T HARRIS BLVD, STE 1121
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
  • 30 clinicians in this Medicare group
Clinic/Center
251 EASTWAY DR
Charlotte, NC 28213
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
General Acute Care Hospital
304 TURNER MCCALL BLVD SW
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • 232 clinicians in this Medicare group
General Acute Care Hospital
1304 FRANKLIN AVE
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
Family Medicine
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group

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 28075 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.

Other Providers at the Same Location NPPES 15

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

Counselor
5427 NC HIGHWAY 49 S, STE 105
HARRISBURG, NC 28075
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5427 NC HIGHWAY 49 S, STE 105
HARRISBURG, NC 28075
Pediatrics
5427 NC HIGHWAY 49 S, STE 103
HARRISBURG, NC 28075
Psychiatry & Neurology (Psychiatry)
5427 NC HIGHWAY 49 S, STE 105
HARRISBURG, NC 28075
Psychiatry & Neurology (Psychiatry)
5427 NC HIGHWAY 49 S, STE 105
HARRISBURG, NC 28075
Pediatrics
5427 NC HIGHWAY 49 S, STE 103
HARRISBURG, NC 28075
Internal Medicine
5427 NC HIGHWAY 49 S, STE 102
HARRISBURG, NC 28075
Counselor
5427 NC HIGHWAY 49 S, STE 105
HARRISBURG, NC 28075

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 Patricia Nuse's NPI number?

The NPI number for Patricia Nuse is 1306816194. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Patricia Nuse located?

Patricia Nuse practices at 5427 Nc Highway 49 S Ste 103, Harrisburg, NC 28075. The listed phone number is (704) 455-5565.

What is Patricia Nuse's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Patricia Nuse enrolled in Medicare?

Yes. Patricia Nuse is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Patricia Nuse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Nuse reassigns Medicare benefits to 6 organizations: Carolinas Physicians Network Inc (Harrisburg, NC), University Pediatrics (Charlotte, NC), Carolinas Medical Center (Charlotte, NC), Floyd Healthcare Management Inc (Rome, GA), Advocate Health And Hospitals Corp. (Normal, IL) and 1 more organization, listed in the Medicare section above. 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 Patricia Nuse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Nuse accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Patricia Nuse 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 Patricia Nuse 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.