KELLY RYAN WACKERLE MD
NPI 1336671700
Neurological Surgery in Charlotte, NC

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
2801 RANDOLPH RD STE 100, CHARLOTTE, NC 28211(704) 367-4800(704) 316-3025 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Ryan Wackerle Md NPPES

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

KELLY RYAN WACKERLE MD (NPI 1336671700) is an individual neurological surgery provider in Charlotte, North Carolina, licensed in North Carolina (2024-02000) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1336671700
Entity TypeIndividualFemale
Primary Taxonomy207T00000X
Provider Legal NameKELLY RYAN WACKERLECredential: MD
Location Address2801 RANDOLPH RD STE 100Charlotte, NC 28211-1051
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Fax(704) 316-3025
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
NPI 1336671700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in NC · 2024-02000
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
2801 RANDOLPH RD STE 100, Charlotte, NC 28211

Other Names 1

Former Name (1)Kelly Ryan Murphy Md

Accepted 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

Kelly Ryan Wackerle 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 ID6204377104
PECOS Enrollment IDI20240918004552
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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Huntersville Medical Center

Acute Care Hospitals · Huntersville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340183
Location10030 Gilead RoadHuntersville, NC 28078 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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.

Other Providers at the Same Location NPPES 14

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

Physician Assistant
2801 RANDOLPH RD STE 100
CHARLOTTE, NC 28211
Physician Assistant
2801 RANDOLPH RD STE 100
CHARLOTTE, NC 28211
Neurological Surgery
2801 RANDOLPH RD STE 100
CHARLOTTE, NC 28211
Physician Assistant
2801 RANDOLPH RD STE 100
CHARLOTTE, NC 28211
Physician Assistant
2801 RANDOLPH RD STE 100
CHARLOTTE, NC 28211
Anesthesiology (Pain Medicine)
2801 RANDOLPH RD STE 100
CHARLOTTE, NC 28211
Physician Assistant
2801 RANDOLPH RD STE 100
CHARLOTTE, NC 28211
Physician Assistant
2801 RANDOLPH RD STE 100
CHARLOTTE, NC 28211

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 Kelly Wackerle's NPI number?

The NPI number for Kelly Wackerle is 1336671700. It was assigned to this individual provider in the NPPES registry on April 3, 2017. The provider is also known as Kelly Ryan Murphy MD.

Where is Kelly Wackerle located?

Kelly Wackerle practices at 2801 Randolph Rd Ste 100, Charlotte, NC 28211. The listed phone number is (704) 367-4800.

What is Kelly Wackerle's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Kelly Wackerle enrolled in Medicare?

Yes. Kelly Wackerle 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 Kelly Wackerle accept?

Health plans from Blue Cross and Blue Shield of NC list Kelly Wackerle 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 Kelly Wackerle affiliated with any hospitals?

According to CMS data, Kelly Wackerle is affiliated with Novant Health Rowan Medical Center, Novant Health Presbyterian Medical Center, Novant Health Matthews Medical Center and Novant Health Huntersville Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Wackerle was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.