KELLER DUNAWAY EARNST FNP
NPI 1447512074
Nurse Practitioner in Charlotte, NC
About Keller Dunaway Earnst Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLER DUNAWAY EARNST FNP (NPI 1447512074) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5007246) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains a secondary practice location in Charlotte.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Keller Dunaway Earnst Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Keller Earnst reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlotte, NC 28207
- Reassigned Medicare billing, North Carolina enrollment
- 2,998 clinicians in this Medicare group
Charlotte, NC 28208
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Providence Anesthesiology Associates PA
- 483 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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health Presbyterian Medical Center
Acute Care Hospitals · Charlotte, NCNovant Health Matthews Medical Center
Acute Care Hospitals · Matthews, NCNovant Health Huntersville Medical Center
Acute Care Hospitals · Huntersville, NCNovant Health Mint Hill Medical Center
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
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 Keller Earnst's NPI number?
The NPI number for Keller Earnst is 1447512074. It was assigned to this individual provider in the NPPES registry on June 11, 2012.
Where is Keller Earnst located?
Keller Earnst practices at 1901 Randolph Rd, Charlotte, NC 28207. The listed phone number is (704) 384-5429.
What is Keller Earnst's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Keller Earnst enrolled in Medicare?
Yes. Keller Earnst 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 organizations bill Medicare for Keller Earnst's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keller Earnst reassigns Medicare benefits to 2 organizations: Novant Health Medical Group, LLC (Charlotte, NC) and Providence Anesthesiology Associates, P.A. (Charlotte, NC). 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 Keller Earnst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Keller Earnst affiliated with any hospitals?
According to CMS data, Keller Earnst is affiliated with Novant Health Presbyterian Medical Center, Novant Health Matthews Medical Center, Novant Health Huntersville Medical Center and Novant Health Mint Hill Medical Center.
When was this NPI record last updated?
The NPPES record for Keller Earnst was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Keller Dunaway Earnst, FNP · NPI 1447512074
Nurse Practitioner physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since June 11, 2012.
## Identity
- **NPI:** 1447512074 (Entity type: Individual)
- **Enumerated:** June 11, 2012
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5007246 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1901 RANDOLPH RD, Charlotte, NC 28207-1101
- **Phone:** (704) 384-5429
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Novant Health Medical Group, LLC (NPI 1689015158, Charlotte, NC); Providence Anesthesiology Associates, P.A. (NPI 1396739884, Charlotte, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** January 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1447512074) · Data from the CMS NPPES public registry.