KANITRA SHAVON CLYBURN NP
NPI 1497131031
Nurse Practitioner in Charlotte, NC
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
Specialties & Licenses 2
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kanitra Shavon Clyburn Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kanitra Clyburn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlotte, NC 28210
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 clinicians in this Medicare group
Charlotte, NC 28210
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 clinicians in this Medicare group
Lexington, NC 27295
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 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.
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.
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 28278
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.
Which organizations bill Medicare for Kanitra Clyburn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kanitra Clyburn reassigns Medicare benefits to 3 organizations: Carolinas Physicians Network Inc (Charlotte, NC), Carolinas Medical Center (Charlotte, NC) and Wake Forest University Health Sciences (Lexington, 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 Kanitra Clyburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kanitra Clyburn accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC 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.
# Kanitra Shavon Clyburn, NP · NPI 1497131031
Nurse Practitioner physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since August 5, 2015.
## Identity
- **NPI:** 1497131031 (Entity type: Individual)
- **Enumerated:** August 5, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5007846 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 13640 STEELECROFT PKWY, STE 210, Charlotte, NC 28278-7565
- **Phone:** (704) 512-6100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Carolinas Physicians Network Inc (NPI 1548876923, Charlotte, NC); Carolinas Medical Center (NPI 1932534914, Charlotte, NC); Wake Forest University Health Sciences (NPI 1639454499, Lexington, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497131031) · Data from the CMS NPPES public registry.