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ROCKY BLUE READLING NP
NPI 1326475583
Nurse Practitioner in Shelby, NC

Active since October 02, 2013PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1010 E DIXON BLVD, SHELBY, NC 28152(980) 487-2700 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 54 more (57 updates tracked since 2016).

About Rocky Blue Readling Np NPPES

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

ROCKY BLUE READLING NP (NPI 1326475583) is an individual nurse practitioner in Shelby, North Carolina, licensed in North Carolina (5006528) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1326475583
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameROCKY BLUE READLINGCredential: NP
Location Address1010 E DIXON BLVDShelby, NC 28152-6838
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(980) 487-2700
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 2, 2013
Last NPPES UpdateSeptember 25, 202557 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1326475583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5006528
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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 5006528 (NC)
1010 E DIXON BLVD, Shelby, NC 28152
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Secondary Practice Locations 4

Location 110628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-7070
Location 22001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070
Location 31350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-4490
Location 41000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720

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

Rocky Blue Readling 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 ID6305075789
PECOS Enrollment IDI20140205000830
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 Rocky Readling reassigns Medicare billing to 2 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
1010 E DIXON BLVD
Shelby, NC 28152
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1265757686 (North Carolina)
  • 2,057 clinicians in this Medicare group
NPI 1689016628 (980) 487-2700
Carolinas Medical Center
38 mi
Family Medicine
1801 ROZZELLES FERRY RD
Charlotte, NC 28208
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1063567428 (704) 446-9987

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

Areas of Expertise CMS Part B claims 7

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.
182 services144 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.
116 services101 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28152 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

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers122 claims122 services$42.39 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers120 claims120 services$109.83 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers112 claims244 services$40.20 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers103 claims502 services$23.23 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers52 claims258 services$17.37 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers163 claims163 services$65.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

REBECCA MANCE HILL FNP
Nurse Practitioner (Family)
1010 E DIXON BLVD, STE B
SHELBY, NC 28152
Cleveland County (980) 487-2900
RYAN CHRISTOPHER CHANEY PA
Physician Assistant
1010 E DIXON BLVD, STE B
SHELBY, NC 28152
Cleveland County (980) 487-2900
CASEY DOUGLAS HANKINS FNP
Nurse Practitioner (Family)
1010 E DIXON BLVD, STE B
SHELBY, NC 28152
Cleveland County (980) 487-2900
MELISSA ANN GOLDSTEIN PA
Physician Assistant
1010 E DIXON BLVD, STE B
SHELBY, NC 28152
Cleveland County (980) 487-2900
DAVID JAMES SALTER PA
Physician Assistant
1010 E DIXON BLVD, STE B
SHELBY, NC 28152
Cleveland County (980) 487-2900
ALANA GOLDBERG NETHERCUTT PA
Physician Assistant
1010 E DIXON BLVD, STE B
SHELBY, NC 28152
Cleveland County (980) 487-2900
LYNNE LE FNP
Nurse Practitioner (Family)
1010 E DIXON BLVD, STE B
SHELBY, NC 28152
Cleveland County (980) 487-2900
CAROLINAS PHYSICIANS NETWORK INC
Internal Medicine
1010 E DIXON BLVD
SHELBY, NC 28152
Cleveland County (980) 487-2700

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 Rocky Readling's NPI number?

The NPI number for Rocky Readling is 1326475583. It was assigned to this individual provider in the NPPES registry on October 2, 2013.

Where is Rocky Readling located?

Rocky Readling practices at 1010 E Dixon Blvd, Shelby, NC 28152. The listed phone number is (980) 487-2700.

What is Rocky Readling's specialty?

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

Is Rocky Readling enrolled in Medicare?

Yes. Rocky Readling 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 Rocky Readling's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rocky Readling reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Shelby, 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 Rocky Readling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rocky Readling accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Oscar Health Plan of North Carolina, Inc list Rocky Readling 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 Rocky Readling affiliated with any hospitals?

According to CMS data, Rocky Readling is affiliated with Atrium Health Cleveland.

When was this NPI record last updated?

The NPPES record for Rocky Readling was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.