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MS. MARLOU BETH MATEO CABALUNA N.P.
NPI 1477995983
Nurse Practitioner in Charlotte, NC

Active since July 25, 2013PECOS EnrolledAccepts Medicare Assignment
10905 PROVIDENCE RD W STE G200, CHARLOTTE, NC 28277(980) 488-4900(980) 488-4905 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 20, 2024, Oct 8, 2018, Jul 20, 2018 (3 updates tracked since 2018).

About Ms. Marlou Beth Mateo Cabaluna N.p. NPPES

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

MS. MARLOU BETH MATEO CABALUNA N.P. (NPI 1477995983) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5010642) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477995983
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MARLOU BETH MATEO CABALUNACredential: N.P.
Location Address10905 PROVIDENCE RD W STE G200Charlotte, NC 28277-1538
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(980) 488-4900
Fax(980) 488-4905
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 25, 2013
Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1477995983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in NC · 5010642✔ Licensed in VA · 0024170859
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.
10905 PROVIDENCE RD W STE G200, Charlotte, NC 28277
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1Medical Center BlvdWinston Salem, NC 27157 · Phone (336) 716-2255
Location 2222 S Herlong AveRock Hill, SC 29732 · Phone (803) 328-1785

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

Ms. Marlou Beth Mateo Cabaluna N.p. 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 ID7214162247
PECOS Enrollment IDI20181107002660
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

3

Medicare enrollment records show Marlou Beth Cabaluna reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Hospice and Palliative Medicine
10905 PROVIDENCE ROAD W
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1174202170 (704) 384-6478
Wake Forest University Health Sciences
65 mi
Multi-Specialty
1303 GREENSBORO STREET EXT
Lexington, NC 27295
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1639454499 (336) 716-2255
Cogent Healthcare Of Georgia PC
222 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, South Carolina enrollment
  • 268 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
86 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services28 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Ballantyne Medical Center

Acute Care Hospitals · Charlotte, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number340195
Location10905 Providence Road WCharlotte, NC 28277 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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 3

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

DOUGLAS KIRBY LOWE AG-ACNP-BC
Nurse Practitioner
10905 PROVIDENCE RD W STE G200
CHARLOTTE, NC 28277
Mecklenburg County (980) 488-4900
CLAUDE ANTON NAAR MD
Hospitalist
10905 PROVIDENCE RD W STE G200
CHARLOTTE, NC 28277
Mecklenburg County (980) 488-4900
NOVANT HEALTH MEDICAL GROUP, LLC
Hospitalist
10905 PROVIDENCE RD W STE G200
CHARLOTTE, NC 28277
Mecklenburg County (980) 488-4900

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 Marlou Beth Cabaluna's NPI number?

The NPI number for Marlou Beth Cabaluna is 1477995983. It was assigned to this individual provider in the NPPES registry on July 25, 2013.

Where is Marlou Beth Cabaluna located?

Marlou Beth Cabaluna practices at 10905 Providence Rd W Ste G200, Charlotte, NC 28277. The listed phone number is (980) 488-4900.

What is Marlou Beth Cabaluna's specialty?

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

Is Marlou Beth Cabaluna enrolled in Medicare?

Yes. Marlou Beth Cabaluna 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 Marlou Beth Cabaluna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlou Beth Cabaluna reassigns Medicare benefits to 3 organizations: Novant Health Medical Group, LLC (Charlotte, NC), Wake Forest University Health Sciences (Lexington, NC) and Cogent Healthcare Of Georgia PC (Macon, GA). 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 Marlou Beth Cabaluna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marlou Beth Cabaluna accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 3 other insurers list Marlou Beth Cabaluna 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 Marlou Beth Cabaluna affiliated with any hospitals?

According to CMS data, Marlou Beth Cabaluna is affiliated with Novant Health Presbyterian Medical Center, Novant Health Matthews Medical Center and Novant Health Ballantyne Medical Center.

When was this NPI record last updated?

The NPPES record for Marlou Beth Cabaluna was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.