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KEISHA LATRICE LIDE NP-C
NPI 1376221887
Nurse Practitioner in Charlotte, NC

Active since July 06, 2023PECOS EnrolledAccepts Medicare Assignment
10616 METROMONT PKWY STE 210, CHARLOTTE, NC 28269(704) 774-6569(855) 308-2340 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2026, Jan 20, 2026, Jul 8, 2024 and 2 more (5 updates tracked since 2023).

About Keisha Latrice Lide Np-c NPPES

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

KEISHA LATRICE LIDE NP-C (NPI 1376221887) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5020183) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376221887
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKEISHA LATRICE LIDECredential: NP-C
Location Address10616 METROMONT PKWY STE 210Charlotte, NC 28269-7670
Mailing AddressPo Box 360Sylva, NC 28779-0360 · (888) 339-6065 · Fax (828) 538-4441
Phone(704) 774-6569
Fax(855) 308-2340
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 6, 2023
Last NPPES UpdateApril 2, 20265 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1376221887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5020183
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5020183 (NC)
10616 METROMONT PKWY STE 210, Charlotte, NC 28269
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Keisha Latrice Lide Np-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 ID8820521115
PECOS Enrollment IDI20241024002982
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.

Hospital Affiliations CMS Care Compare

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28269 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 4

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

MISTY SEVERT MUNGER FNP
Nurse Practitioner
10616 METROMONT PKWY STE 210
CHARLOTTE, NC 28269
Mecklenburg County (704) 774-6569
AMBER NOELLE SYKES NP
Nurse Practitioner
10616 METROMONT PKWY STE 210
CHARLOTTE, NC 28269
Mecklenburg County (704) 774-6569
EBONY JOY COOKE PA
Physician Assistant
10616 METROMONT PKWY STE 210
CHARLOTTE, NC 28269
Mecklenburg County (704) 774-6569
JASMINE NICOLE CHAMBLISS FNP-BC
Nurse Practitioner
10616 METROMONT PKWY STE 210
CHARLOTTE, NC 28269
Mecklenburg County (704) 774-6569

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 Keisha Lide's NPI number?

The NPI number for Keisha Lide is 1376221887. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Where is Keisha Lide located?

Keisha Lide practices at 10616 Metromont Pkwy Ste 210, Charlotte, NC 28269. The listed phone number is (704) 774-6569.

What is Keisha Lide's specialty?

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

Is Keisha Lide enrolled in Medicare?

Yes. Keisha Lide 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 Keisha Lide accept?

Health plans from Blue Cross and Blue Shield of NC list Keisha Lide 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 Keisha Lide affiliated with any hospitals?

According to CMS data, Keisha Lide is affiliated with Caromont Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Keisha Lide was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.