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: July 19, 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 Presbyterian Medical Center, and maintains a secondary practice location in Durham.

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

Secondary Practice Location 1

Location 12301 Erwin RdDurham, NC 27705-4699 · Phone (919) 684-8111

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.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.25 for a new patient copayment and $16.93 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 28211 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $125.01
  • Minimum New Patient Price $54.12
  • Maximum New Patient Price $165.09
  • Average New Patient Copayment $31.25
  • Minimum New Patient Copayment $13.53
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.72
  • Minimum Established Patient Price $17.21
  • Maximum Established Patient Price $134.61
  • Average Established Patient Copayment $16.93
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kelly Wackerle is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER200 HAWTHORNE LANE BOX 33549
CHARLOTTE, NC 28233
(704) 384-4000Acute Care Hospitals
NOVANT HEALTH MATTHEWS MEDICAL CENTER1500 MATTHEWS TWNSHP PRKWY BOX 3310
MATTHEWS, NC 28106
(704) 384-6500Acute Care Hospitals
NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER10030 GILEAD ROAD
HUNTERSVILLE, NC 28078
(704) 316-4000Acute Care Hospitals

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

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
Nurse Practitioner
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
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
Physician Assistant
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

The NPI number assigned to this healthcare provider is 1336671700, enumerated as an "individual" on April 03, 2017.

The provider is located at 2801 RANDOLPH RD STE 100 CHARLOTTE, NC 28211 and the phone number is (704) 367-4800.

Neurological Surgery with taxonomy code 207T00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.

Kelly Wackerle is affiliated with: NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER, NOVANT HEALTH MATTHEWS MEDICAL CENTER and NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER.