KANITRA SHAVON CLYBURN NP
NPI 1497131031
Nurse Practitioner in Charlotte, NC

Q: What is Kanitra Clyburn's NPI number?

The NPI number for Kanitra Clyburn is 1497131031. It was assigned to this individual provider in the NPPES registry on August 5, 2015.

Q: What is Kanitra Clyburn'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 Kanitra Clyburn was last updated on July 15, 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 August 05, 2015PECOS Enrolled

13640 STEELECROFT PKWY, STE 210, CHARLOTTE, NC 28278(704) 512-6100 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 50 more (53 updates tracked since 2016).

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About Kanitra Shavon Clyburn Np NPPES

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

KANITRA SHAVON CLYBURN NP (NPI 1497131031) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5007846) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1497131031

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKANITRA SHAVON CLYBURNCredential: NP

Location Address13640 STEELECROFT PKWY, STE 210Charlotte, NC 28278-7565

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 512-6100

Sole ProprietorNo

Enumeration DateAugust 5, 2015

Last NPPES UpdateJuly 15, 202453 updates tracked since enumeration

✔ NPI 1497131031 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 · 5007846

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 · PediatricsTaxonomy 363LP0200X · License 5007846 (NC)

13640 STEELECROFT PKWY, Charlotte, NC 28278

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Secondary Practice Locations 4

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1422

Location 24501 Cameron Valley Pkwy, Ste 100Charlotte, NC 28211-4297 · Phone (704) 367-7400

Location 36235 Blakeney Park Dr, Ste 100Charlotte, NC 28277-5658 · Phone (704) 512-5060

Location 4332 N Trade St, Ste 1500Matthews, NC 28105-1728 · Phone (704) 512-6820

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kanitra Shavon Clyburn Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28278 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 20

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

JENNIFER CARMACK BAXLEY PA

Physician Assistant

13640 STEELECROFT PKWY, STE 210
CHARLOTTE, NC 28278

Mecklenburg County (704) 512-6100

MADISON KOONS PHARMD

Pharmacist (Emergency Medicine)

13640 STEELECROFT PKWY
CHARLOTTE, NC 28278

Mecklenburg County (716) 598-1253

ERICA LYNN MAUNEY PA

Physician Assistant

13640 STEELECROFT PKWY
CHARLOTTE, NC 28278

Mecklenburg County (704) 512-6240

FARZANA SEEMAB MD

Internal Medicine

13640 STEELECROFT PKWY, STE 320
CHARLOTTE, NC 28278

Mecklenburg County (704) 302-8900

CHARLES BALE MD

Obstetrics & Gynecology

13640 STEELECROFT PKWY, STE 240
CHARLOTTE, NC 28278

Mecklenburg County (704) 512-3860

JUDITH W. WOLHAR RPH

Pharmacist

13640 STEELECROFT PKWY, SUITE 120
CHARLOTTE, NC 28278

Mecklenburg County (704) 512-5300

LORI REBECCA WILLIAMSON CNM

Advanced Practice Midwife

13640 STEELECROFT PKWY, STE 240
CHARLOTTE, NC 28278

Mecklenburg County (704) 512-3860

SINDHU LIZ JOSEPH MD

Internal Medicine

13640 STEELECROFT PKWY, STE 320
CHARLOTTE, NC 28278

Mecklenburg County (704) 302-8900

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 Kanitra Clyburn's NPI number?

The NPI number for Kanitra Clyburn is 1497131031. It was assigned to this individual provider in the NPPES registry on August 5, 2015.

Where is Kanitra Clyburn located?

Kanitra Clyburn practices at 13640 Steelecroft Pkwy Ste 210, Charlotte, NC 28278. The listed phone number is (704) 512-6100.

What is Kanitra Clyburn's specialty?

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

Is Kanitra Clyburn enrolled in Medicare?

Yes. Kanitra Clyburn is registered in the Medicare PECOS enrollment system.

What insurance does Kanitra Clyburn accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Kanitra Clyburn 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.

When was this NPI record last updated?

The NPPES record for Kanitra Clyburn was last updated on July 15, 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.