CHARLOTTE SKIN & LASER, P.A.
NPI 1538229737
Specialist in Charlotte, NC

Q: What is Charlotte Skin & Laser, P.A.'s NPI number?

The NPI number for Charlotte Skin & Laser, P.A. is 1538229737. It was assigned to this organization in the NPPES registry on December 11, 2006.

Q: What is Charlotte Skin & Laser, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since December 11, 2006CLIA Certified · 2 labs

130 PROVIDENCE RD STE 100, CHARLOTTE, NC 28207(704) 333-9113(704) 333-9757 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Charlotte Skin & Laser, P.a. NPPES

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

CHARLOTTE SKIN & LASER, P.A. (NPI 1538229737) is a healthcare organization registered as a specialist in Charlotte, North Carolina and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists Elizabeth Rostan, President, as its authorized official.

NPPES Registry Identity

NPI1538229737

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCHARLOTTE SKIN & LASER, P.A.

Location Address130 PROVIDENCE RD STE 100Charlotte, NC 28207-1242

Mailing Address130 Providence Rd Ste 100Charlotte, NC 28207-1242 · (704) 333-9113 · Fax (704) 333-9757

Phone(704) 333-9113

Fax(704) 333-9757

Organization SubpartNo

Authorized OfficialElizabeth RostanPresident · (704) 333-9113

Enumeration DateDecember 11, 2006

Last NPPES UpdateDecember 17, 2014

✔ NPI 1538229737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NC · 9700237

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

130 PROVIDENCE RD STE 100, Charlotte, NC 28207

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Other Identifiers 2

Medicare UPIN2331560NC

Medicare UPINH08009NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlotte Skin & Laser, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Charlotte Skin & Laser, P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Elizabeth Rostan, M.D.

Dermatology

NPI 1265522239

130 PROVIDENCE RD STE 100
Charlotte, NC 28207

(704) 333-9113

✔ PECOS✔ Accepts MedicareSame address

Sarah Harris, DNP

Nurse Practitioner

NPI 1336833011

127 BEN CASEY DR STE 106
Fort Mill, SC 29708

(803) 547-6800

✔ PECOS15 mi

Mary Ellen Luchetti, M.D.

Dermatology

NPI 1679565964

1021 MEDICAL ARTS AVE NE
Albuquerque, NM 87102

(505) 272-6222

✔ PECOS✔ Accepts Medicare1,457 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0993045

Charlotte Skin And Laser · Charlotte, NC

Active · expires Sep 8, 2027

CLIA Number34D0993045

Laboratory TypePhysician Office

Certificate Effective DateSeptember 9, 2025

Certificate Expiration DateSeptember 8, 2027

Laboratory DirectorElizabeth F. Rostan

Laboratory Phone(980) 335-0877

Laboratory LocationCharlotte Skin And Laser130 Providence Rd, Charlotte, NC 28207

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2341401

Charlotte Skin & Laser, PA · Huntersville, NC

Active · expires Mar 31, 2028

CLIA Number34D2341401

Laboratory TypePhysician Office

Certificate Effective DateApril 1, 2026

Certificate Expiration DateMarch 31, 2028

Laboratory DirectorElizabeth F. Rostan

Laboratory Phone(704) 333-9113

Laboratory LocationCharlotte Skin & Laser, PA9920 Kincey Avenue, Suite 190, Huntersville, NC 28078

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Charlotte Skin & Laser, P.A.'s NPI number?

The NPI number for Charlotte Skin & Laser, P.A. is 1538229737. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Charlotte Skin & Laser, P.A. located?

Charlotte Skin & Laser, P.A. is located at 130 Providence Rd Ste 100, Charlotte, NC 28207. The listed phone number is (704) 333-9113.

What is Charlotte Skin & Laser, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Charlotte Skin & Laser, P.A. enrolled in Medicare?

Yes. Charlotte Skin & Laser, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charlotte Skin & Laser, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Charlotte Skin & Laser, P.A., in Dermatology and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Charlotte Skin & Laser, P.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Charlotte Skin & Laser, P.A. accept?

Health plans from Blue Cross and Blue Shield of NC list Charlotte Skin & Laser, P.A. 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 Charlotte Skin & Laser, P.A. was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.