MRS. KALISSIA BENNETT PARKER FNP-BC
NPI 1356102669
Nurse Practitioner - Family in Aberdeen, NC

Active since January 23, 2024PECOS Enrolled
311 WINESAP PL, ABERDEEN, NC 28315(704) 690-5146 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 8, 2025, Jun 11, 2024, Jun 5, 2024 (3 updates tracked since 2024).

About Mrs. Kalissia Bennett Parker Fnp-bc NPPES

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

MRS. KALISSIA BENNETT PARKER FNP-BC (NPI 1356102669) is an individual family provider in Aberdeen, North Carolina, licensed in North Carolina (5019980) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Scotland Memorial Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356102669
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KALISSIA BENNETT PARKERCredential: FNP-BC
Location Address311 WINESAP PLAberdeen, NC 28315-8300
Mailing Address311 Winesap PlAberdeen, NC 28315-8300 · (704) 690-5146
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 23, 2024
Last NPPES UpdateSeptember 8, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1356102669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NC · 5019980✔ Licensed in SC · 28682
Also ListedRegistered NurseTaxonomy 163W00000X · License 158967 (NC)
311 WINESAP PL, Aberdeen, NC 28315

Other Names 1

Former Name (1)Kalissia Bennett

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kalissia Bennett Parker Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860905312
PECOS Enrollment IDI20250629000012
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

5

Medicare enrollment records show Kalissia Parker reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 187 clinicians in this Medicare group
Family Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 312 clinicians in this Medicare group
Geriatric Medicine
212 S TYRON ST STE 1000
Charlotte, NC 28281
  • Reassigned Medicare billing, North Carolina enrollment
  • 264 clinicians in this Medicare group
Family Medicine
2810 COLISEUM CENTRE DR STE 120
Charlotte, NC 28217
  • Reassigned Medicare billing, North Carolina enrollment
  • 191 clinicians in this Medicare group
Nurse Practitioner
2 OFFICE PARK CT STE 103
Columbia, SC 29223
  • Reassigned Medicare billing, North Carolina enrollment
  • 193 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Scotland Memorial Hospital

Acute Care Hospitals · Laurinburg, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340008
Location500 Lauchwood DrLaurinburg, NC 28352 · Scotland County
Emergency services Birthing friendly

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28315 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.

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 Kalissia Parker's NPI number?

The NPI number for Kalissia Parker is 1356102669. It was assigned to this individual provider in the NPPES registry on January 23, 2024. The provider is also known as Kalissia Bennett.

Where is Kalissia Parker located?

Kalissia Parker practices at 311 Winesap Pl, Aberdeen, NC 28315. The listed phone number is (704) 690-5146.

What is Kalissia Parker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kalissia Parker enrolled in Medicare?

Yes. Kalissia Parker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kalissia Parker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kalissia Parker reassigns Medicare benefits to 5 organizations: Eventus Value Care, LLC (Concord, NC), Eventus Wholehealth, PLLC (Concord, NC), Eventus Wh Southeast, LLC (Charlotte, NC), Eventus Wh PLLC Care, LLC (Charlotte, NC) and Eventus Wh Southeast - South Carolina, LLC (Columbia, SC). 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 Kalissia Parker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kalissia Parker affiliated with any hospitals?

According to CMS data, Kalissia Parker is affiliated with Scotland Memorial Hospital and Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kalissia Parker was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.