MS. JENNIFER ANN CHILDERS AGACNP-BC
NPI 1508575713
Nurse Practitioner - Acute Care in Mooresville, NC
About Ms. Jennifer Ann Childers Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JENNIFER ANN CHILDERS AGACNP-BC (NPI 1508575713) is an individual acute care provider in Mooresville, North Carolina, licensed in North Carolina (5017238) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Jennifer Ann Childers Agacnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Childers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mooresville, NC 28117
- Reassigned Medicare billing, North Carolina enrollment
- 1,646 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center-Northeast
Acute Care Hospitals · Concord, NCCarolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCAtrium Health Lincoln
Acute Care Hospitals · Lincolnton, NCAtrium Health University City
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jennifer Childers's NPI number?
The NPI number for Jennifer Childers is 1508575713. It was assigned to this individual provider in the NPPES registry on November 16, 2022.
Where is Jennifer Childers located?
Jennifer Childers practices at 134 Medical Park Rd Ste 111, Mooresville, NC 28117. The listed phone number is (704) 801-9100.
What is Jennifer Childers's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jennifer Childers enrolled in Medicare?
Yes. Jennifer Childers is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jennifer Childers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Childers reassigns Medicare benefits to Carolinas Physicians Network Inc (Mooresville, 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 Jennifer Childers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Childers accept?
Health plans from Blue Cross and Blue Shield of NC list Jennifer Childers 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.
Is Jennifer Childers affiliated with any hospitals?
According to CMS data, Jennifer Childers is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health, Atrium Health Lincoln and Atrium Health University City.
When was this NPI record last updated?
The NPPES record for Jennifer Childers was last updated on August 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.
# Ms. Jennifer Ann Childers, AGACNP-BC · NPI 1508575713
Acute Care physician in Mooresville, North Carolina. Individual provider, active in the CMS NPPES registry since November 16, 2022.
## Identity
- **NPI:** 1508575713 (Entity type: Individual)
- **Enumerated:** November 16, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 5017238 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 134 MEDICAL PARK RD STE 111, Mooresville, NC 28117-8527
- **Phone:** (704) 801-9100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Carolinas Physicians Network Inc (NPI 1477878981, Mooresville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1508575713) · Data from the CMS NPPES public registry.