KATHLEEN KELLY PENISTON NP
NPI 1346260254
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
501 BILLINGSLEY RD, STE B, CHARLOTTE, NC 28211(704) 444-2400 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 45 more (48 updates tracked since 2017).

About Kathleen Kelly Peniston Np NPPES

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

KATHLEEN KELLY PENISTON NP (NPI 1346260254) is an individual psychiatric/mental health provider in Charlotte, North Carolina, licensed in North Carolina (950005) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1346260254
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHLEEN KELLY PENISTONCredential: NP
Location Address501 BILLINGSLEY RD, STE BCharlotte, NC 28211-1009
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2000
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 15, 202448 updates tracked since enumeration
NPI 1346260254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NC · 950005
Also ListedNurse PractitionerTaxonomy 363L00000X · License 950005 (NC)
501 BILLINGSLEY RD, Charlotte, NC 28211

Secondary Practice Location 1

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1255

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

Kathleen Kelly Peniston 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 ID8820112535
PECOS Enrollment IDI20100902000274
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 3

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.
60 services27 patients
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.
38 services20 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.
26 services19 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · 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
$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

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Addiction Medicine)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Internal Medicine
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Counselor (Mental Health)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Pharmacist
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Psychiatry & Neurology (Psychiatry)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Student in an Organized Health Care Education/Training Program
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Psychiatry & Neurology (Psychiatry)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Pharmacist
501 BILLINGSLEY RD
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 Kathleen Peniston's NPI number?

The NPI number for Kathleen Peniston is 1346260254. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Kathleen Peniston located?

Kathleen Peniston practices at 501 Billingsley Rd Ste B, Charlotte, NC 28211. The listed phone number is (704) 444-2400.

What is Kathleen Peniston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kathleen Peniston enrolled in Medicare?

Yes. Kathleen Peniston 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 Kathleen Peniston accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Kathleen Peniston 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 Kathleen Peniston affiliated with any hospitals?

According to CMS data, Kathleen Peniston is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Kathleen Peniston 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.