KELLY JO STOCKTON-DRUM ANP-C,GNP
NPI 1386936946
Nurse Practitioner - Adult Health in Newton, NC

Q: What is Kelly Stockton-drum's NPI number?

The NPI number for Kelly Stockton-drum is 1386936946. It was assigned to this individual provider in the NPPES registry on May 13, 2011.

Q: What is Kelly Stockton-drum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since May 13, 2011PECOS Enrolled

82.33/100

CMS Quality Rating

3975 ROBINSON RD, NEWTON, NC 28658(828) 466-0466(828) 466-8862 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Aug 22, 2022, Nov 28, 2018 and 2 more (5 updates tracked since 2018).

On this page

About Kelly Jo Stockton-drum Anp-c,gnp NPPES

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

KELLY JO STOCKTON-DRUM ANP-C,GNP (NPI 1386936946) is an individual adult health provider in Newton, North Carolina, licensed in North Carolina (5005167) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1386936946

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKELLY JO STOCKTON-DRUMCredential: ANP-C,GNP

Location Address3975 ROBINSON RDNewton, NC 28658

Mailing Address3975 Robinson RdNewton, NC 28658-9715 · (828) 466-0466 · Fax (828) 466-8862

Phone(828) 466-0466

Fax(828) 466-8862

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 13, 2011

Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration

NPPES CertifiedAugust 22, 2022

✔ NPI 1386936946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NC · 5005167

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5005167 (NC)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 5005167 (NC)

3975 ROBINSON RD, Newton, NC 28658

Open in Google Maps ↗

Other Identifiers 4

Medicaid7004895NC

Other203866NC · Rn License

Other5005167NC · Np Licesne

Other19N0HNC · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Jo Stockton-drum Anp-c,gnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739359316

PECOS Enrollment IDI20110909002689

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

Medicare enrollment records show Kelly Stockton-drum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolina Caring Health Partners, LLC

Same address

Family Medicine

3975 ROBINSON RD
Newton, NC 28658

Reassigned Medicare billing, North Carolina enrollment
16 clinicians in this Medicare group

NPI 1093901696 (828) 466-0466

Carolina Caring Serious Illness, LLC

Same address

Hospice and Palliative Medicine

3975 ROBINSON RD
Newton, NC 28658

Reassigned Medicare billing, North Carolina enrollment
49 clinicians in this Medicare group

NPI 1083449680 (828) 466-0466

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 8

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

108 services30 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

56 services33 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

53 services11 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.

46 services18 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

41 services11 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.

28 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28658 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.

82.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.64

Improvement Activities

Cost

55.79

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers15 claims15 services$37.79 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier13 claims13 services$69.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DUSTIN FORD FNP

Nurse Practitioner (Family)