1. Home
  2. Directory
  3. North Carolina
  4. Statesville
  5. Nurse Practitioner
  6. NPI Profile

KELLY MARIE BUCHHOLZ FNP-C
NPI 1346957099
Nurse Practitioner in Statesville, NC

Active since November 02, 2022PECOS EnrolledAccepts Medicare Assignment
555 KITCHINGS DR, STATESVILLE, NC 28677(704) 978-1144(704) 978-1148 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2024, Feb 6, 2023, Nov 2, 2022 (3 updates tracked since 2022).

About Kelly Marie Buchholz Fnp-c NPPES

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

KELLY MARIE BUCHHOLZ FNP-C (NPI 1346957099) is an individual nurse practitioner in Statesville, North Carolina, licensed in North Carolina (5017169) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Statesville, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1346957099
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY MARIE BUCHHOLZCredential: FNP-C
Location Address555 KITCHINGS DRStatesville, NC 28677-3576
Mailing AddressPo Box 1845Statesville, NC 28687-1845
Phone(704) 978-1144
Fax(704) 978-1148
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 2, 2022
Last NPPES UpdateApril 23, 20253 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
✔ NPI 1346957099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5017169
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.
555 KITCHINGS DR, Statesville, NC 28677
Open in Google Maps ↗

Secondary Practice Location 1

Location 1293 Old Mocksville RdStatesville, NC 28625-1930 · Phone (704) 872-8711 · Fax (704) 872-5866

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Kelly Marie Buchholz Fnp-c 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 ID1759750482
PECOS Enrollment IDI20221219003025
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 Kelly Buchholz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Healthcare, P.A.
0.9 mi
Internal Medicine
650 SIGNAL HILL DRIVE EXT
Statesville, NC 28625
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Piedmont Healthcare PA
  • 186 clinicians in this Medicare group
NPI 1912999897 (704) 873-4277
Carolina Specialty Care, PA
1.1 mi
Legal Medicine
124 SUNSET HILL DR
Statesville, NC 28625
  • Reassigned Medicare billing, North Carolina enrollment
  • 14 clinicians in this Medicare group
NPI 1275596439 (704) 872-8711

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 6

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.
107 services67 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.
32 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients
Vitamin d-3 level 82306
A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28677 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 8

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

DR. VIVEK MAHESH TRIVEDI M.D.
Internal Medicine (Gastroenterology)
555 KITCHINGS DR
STATESVILLE, NC 28677
Iredell County (704) 978-1144
TIEDRE SUSANNE PALMER FNP
Nurse Practitioner (Family)
555 KITCHINGS DR
STATESVILLE, NC 28677
Iredell County (704) 978-1144
ALOPI MODI DNP, FNP-BC
Nurse Practitioner (Family)
555 KITCHINGS DR
STATESVILLE, NC 28677
Iredell County (704) 978-1144
DR. VENU GOPALA REDDY GANGIREDDY MD
Internal Medicine (Gastroenterology)
555 KITCHINGS DR
STATESVILLE, NC 28677
Iredell County (704) 978-1144
STATESVILLE HMA MEDICAL GROUP LLC
Obstetrics & Gynecology
555 KITCHINGS DR
STATESVILLE, NC 28677
Iredell County (704) 872-7294
CRYSTAL MEDLEY GREEN FNP
Nurse Practitioner (Family)
555 KITCHINGS DR
STATESVILLE, NC 28677
Iredell County (704) 978-1144
DR. NIKHIEL BHASKER RAU M.D.
Internal Medicine (Gastroenterology)
555 KITCHINGS DR
STATESVILLE, NC 28677
Iredell County (704) 978-1144
KATHRYN JEAN COURTNEY
Nurse Practitioner (Family)
555 KITCHINGS DR
STATESVILLE, NC 28677
Iredell County (704) 978-1144

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 Buchholz's NPI number?

The NPI number for Kelly Buchholz is 1346957099. It was assigned to this individual provider in the NPPES registry on November 2, 2022.

Where is Kelly Buchholz located?

Kelly Buchholz practices at 555 Kitchings Dr, Statesville, NC 28677. The listed phone number is (704) 978-1144.

What is Kelly Buchholz's specialty?

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

Is Kelly Buchholz enrolled in Medicare?

Yes. Kelly Buchholz 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 Kelly Buchholz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Buchholz reassigns Medicare benefits to 2 organizations: Piedmont Healthcare, P.A. (Statesville, NC) and Carolina Specialty Care, PA (Statesville, 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 Kelly Buchholz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Buchholz accept?

Health plans from UnitedHealthcare list Kelly Buchholz 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 Kelly Buchholz was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.