MRS. KELLY JACKSON COLEMAN FNP
NPI 1497107536
Nurse Practitioner in Matthews, NC

Q: What is Kelly Coleman's NPI number?

The NPI number for Kelly Coleman is 1497107536. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Q: What is Kelly Coleman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Coleman was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 12, 2016PECOS EnrolledAccepts Medicare Assignment

1401 MATTHEWS TOWNSHIP PKWY STE 110, MATTHEWS, NC 28105(704) 316-3131(704) 316-3132 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2024, Oct 27, 2020, Oct 13, 2016 and 1 more (4 updates tracked since 2016).

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About Mrs. Kelly Jackson Coleman Fnp NPPES

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

MRS. KELLY JACKSON COLEMAN FNP (NPI 1497107536) is an individual nurse practitioner in Matthews, North Carolina, licensed in North Carolina (5008693) and active in the NPI registry since July 2016. 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

NPI1497107536

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KELLY JACKSON COLEMANCredential: FNP

Location Address1401 MATTHEWS TOWNSHIP PKWY STE 110Matthews, NC 28105-5403

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-3131 · Fax (704) 316-3132

Phone(704) 316-3131

Fax(704) 316-3132

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 12, 2016

Last NPPES UpdateFebruary 5, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2024

✔ NPI 1497107536 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 · 5008693

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 5008693 (NC)

1401 MATTHEWS TOWNSHIP PKWY STE 110, Matthews, NC 28105

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Secondary Practice Location 1

Location 11718 E 4th St, Suite 501Charlotte, NC 28204-3261 · Phone (704) 343-9800 · Fax (704) 347-2011

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

Mrs. Kelly Jackson Coleman 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.

PECOS PAC ID9830477439

PECOS Enrollment IDI20161102002191

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.

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.

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.

542 services482 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

130 services124 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.

23 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

88%143 patients4/55-star benchmark: 100%

Medication Reconciliation Post-Discharge

The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…

Patients 65+: 100% · 56 patients

100%59 patients

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

64%291 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

53%320 patients3/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

53%112 patients3/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 11

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

MRS. HEATHER JEAN MATHEW NP-C

Nurse Practitioner