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JUDITH PRAIRIE MD
NPI 1407352255
Family Medicine in Mooresville, NC

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment
653 BLUEFIELD ROAD, STE F, MOORESVILLE, NC 28117(704) 360-6480(704) 883-3228 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2022, Aug 3, 2021 (2 updates tracked since 2021).

About Judith Prairie Md NPPES

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

JUDITH PRAIRIE MD (NPI 1407352255) is an individual family medicine provider in Mooresville, North Carolina, licensed in North Carolina (2021-00708) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407352255
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJUDITH PRAIRIECredential: MD
Location Address653 BLUEFIELD ROAD, STE FMooresville, NC 28117
Mailing AddressPo Box 896199Charlotte, NC 28289-6199 · (833) 936-1364
Phone(704) 360-6480
Fax(704) 883-3228
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 2, 2018
Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2022
✔ NPI 1407352255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2021-00708
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
653 BLUEFIELD ROAD, STE F, Mooresville, NC 28117
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Other Names 1

Former Name (1)Judith Albert Md

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 and accepts Medicare assignment

Judith Prairie Md 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 ID2163850942
PECOS Enrollment IDI20210720002849
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 Reassignment

Medicare enrollment records show Judith Prairie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Iredell Physician Network LLC
Same address
Family Medicine
653 BLUEFIELD ROAD, SUITE F
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 116 clinicians in this Medicare group
NPI 1235711334 (704) 883-3378

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 5

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.
164 services81 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.
88 services52 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
48 services12 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
23 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 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 Judith Prairie's NPI number?

The NPI number for Judith Prairie is 1407352255. It was assigned to this individual provider in the NPPES registry on April 2, 2018. The provider is also known as Judith Albert MD.

Where is Judith Prairie located?

Judith Prairie practices at 653 Bluefield Road, Ste F, Mooresville, NC 28117. The listed phone number is (704) 360-6480.

What is Judith Prairie's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Judith Prairie enrolled in Medicare?

Yes. Judith Prairie 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 organization bills Medicare for Judith Prairie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Prairie reassigns Medicare benefits to Iredell Physician Network LLC (Mooresville, NC). The 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 Judith Prairie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Judith Prairie accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Judith Prairie 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 Judith Prairie affiliated with any hospitals?

According to CMS data, Judith Prairie is affiliated with Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Judith Prairie was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.