MRS. KELLY MAINES SQUIRES CPNP
NPI 1497268320
Nurse Practitioner - Pediatrics in Raleigh, NC

Active since November 14, 2017PECOS Enrolled
23 SUNNYBROOK RD, RALEIGH, NC 27610(919) 235-6435 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2021, Nov 15, 2017 (2 updates tracked since 2017).

About Mrs. Kelly Maines Squires Cpnp NPPES

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

MRS. KELLY MAINES SQUIRES CPNP (NPI 1497268320) is an individual pediatrics provider in Raleigh, North Carolina, licensed in North Carolina (5010058) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497268320
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. KELLY MAINES SQUIRESCredential: CPNP
Location Address23 SUNNYBROOK RDRaleigh, NC 27610-1855
Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010
Sole ProprietorNo
Enumeration DateNovember 14, 2017
Last NPPES UpdateApril 13, 20212 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
NPI 1497268320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in NC · 5010058
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 246271 (NC)
23 SUNNYBROOK RD, Raleigh, NC 27610

Accepted 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)

Mrs. Kelly Maines Squires Cpnp 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 27610 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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Pediatrics (Pediatric Gastroenterology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Internal Medicine (Hematology & Oncology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Surgery (Pediatric Surgery)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Counselor (Mental Health)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Physician Assistant (Medical)
23 SUNNYBROOK RD, SUITE 220
RALEIGH, NC 27610
Internal Medicine (Hematology & Oncology)
23 SUNNYBROOK RD, SUITE 220
RALEIGH, NC 27610
Social Worker (Clinical)
23 SUNNYBROOK RD
RALEIGH, NC 27610

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 Kelly Squires's NPI number?

The NPI number for Kelly Squires is 1497268320. It was assigned to this individual provider in the NPPES registry on November 14, 2017.

Where is Kelly Squires located?

Kelly Squires practices at 23 Sunnybrook Rd, Raleigh, NC 27610. The listed phone number is (919) 235-6435.

What is Kelly Squires's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelly Squires enrolled in Medicare?

Yes. Kelly Squires is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Squires accept?

Health plans from Blue Cross and Blue Shield of NC list Kelly Squires 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 Kelly Squires was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.