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MRS. KERI ANNE SQUITTIERI PA-C
NPI 1366727497
Physician Assistant - Medical in Charlotte, NC

Active since October 20, 2011PECOS EnrolledAccepts Medicare Assignment
3006 BAUCOM RD, CHARLOTTE, NC 28269(704) 596-1787(704) 596-6230 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Keri Anne Squittieri Pa-c NPPES

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

MRS. KERI ANNE SQUITTIERI PA-C (NPI 1366727497) is an individual medical provider in Charlotte, North Carolina, licensed in North Carolina (0010-03191) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1366727497
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KERI ANNE SQUITTIERICredential: PA-C
Location Address3006 BAUCOM RDCharlotte, NC 28269-6762
Mailing Address17039 Kenton Dr, Ste 100Cornelius, NC 28031-5776 · (704) 596-1787 · Fax (704) 596-6230
Phone(704) 596-1787
Fax(704) 596-6230
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 20, 2011
Last NPPES UpdateFebruary 14, 2017
✔ NPI 1366727497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 0010-03191
3006 BAUCOM RD, Charlotte, NC 28269
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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

Mrs. Keri Anne Squittieri Pa-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 ID4385818186
PECOS Enrollment IDI20111114000005
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.

Other Providers at the Same Location NPPES 3

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

UNIVERSITY DERMATOLOGY, PLLC
Specialist
3006 BAUCOM RD, SUITE 100
CHARLOTTE, NC 28269
Mecklenburg County (704) 596-1787
MRS. DANA MEREDITH DORENFELD P.A.
Physician Assistant (Medical)
3006 BAUCOM RD, SUITE 100
CHARLOTTE, NC 28269
Mecklenburg County (704) 596-1787
DR. VAL PIERRE VALLAT M.D.
Specialist
3006 BAUCOM RD, SUITE 100
CHARLOTTE, NC 28269
Mecklenburg County (704) 596-1787

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 Keri Squittieri's NPI number?

The NPI number for Keri Squittieri is 1366727497. It was assigned to this individual provider in the NPPES registry on October 20, 2011.

Where is Keri Squittieri located?

Keri Squittieri practices at 3006 Baucom Rd, Charlotte, NC 28269. The listed phone number is (704) 596-1787.

What is Keri Squittieri's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Keri Squittieri enrolled in Medicare?

Yes. Keri Squittieri 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.

When was this NPI record last updated?

The NPPES record for Keri Squittieri was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.