MRS. KELLY MAINES SQUIRES CPNP
NPI 1497268320
Nurse Practitioner - Pediatrics in Raleigh, NC
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
Specialties & Licenses 2
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)
Mrs. Kelly Maines Squires Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Squires reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Raleigh, NC 27610
- Reassigned Medicare billing, North Carolina enrollment
- 997 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 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.
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.
RALEIGH, NC 27610
RALEIGH, NC 27610
RALEIGH, NC 27610
RALEIGH, NC 27610
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.
Which organization bills Medicare for Kelly Squires's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Squires reassigns Medicare benefits to Wakemed Specialists Group LLC (Raleigh, NC). The 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 Kelly Squires's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Squires accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare 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.
# Mrs. Kelly Maines Squires, CPNP · NPI 1497268320
Pediatrics physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since November 14, 2017.
## Identity
- **NPI:** 1497268320 (Entity type: Individual)
- **Enumerated:** November 14, 2017
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 5010058 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 23 SUNNYBROOK RD, Raleigh, NC 27610-1855
- **Phone:** (919) 235-6435
## 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:** Wakemed Specialists Group LLC (NPI 1003751900, Raleigh, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1497268320) · Data from the CMS NPPES public registry.