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NIKKI RAE HOUSEHOLDER PA-C
NPI 1548152309
Physician Assistant in Charlotte, NC

Active since July 16, 2025PECOS EnrolledAccepts Medicare Assignment
1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1255 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nikki Rae Householder Pa-c NPPES

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

NIKKI RAE HOUSEHOLDER PA-C (NPI 1548152309) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-16008) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1548152309
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNIKKI RAE HOUSEHOLDERCredential: PA-C
Location Address1350 S KINGS DRCharlotte, NC 28207-2134
Mailing Address1350 S Kings DrCharlotte, NC 28207-2134
Phone(704) 446-1255
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 16, 2025
Last NPPES UpdateFebruary 4, 2026
NPPES CertifiedFebruary 4, 2026
✔ NPI 1548152309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-16008
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1350 S KINGS DR, Charlotte, NC 28207
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nikki Rae Householder Pa-c 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.

PECOS PAC ID7214418011
PECOS Enrollment IDI20260219002787
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 28207 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

KRISTINA JASMIN HARRELL MD
Pediatrics (Pediatric Hematology-Oncology)
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1422
WILLIAM LANE JR. MD
Internal Medicine
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-4490
LYNN AMY BOARDMAN MD
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544
MRS. ALKA H PATEL PHARMD
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1405
PAULA JEANETTE LASTORIA FNP
Nurse Practitioner (Family)
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1255
GRANT BLANCHARD MD
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544
MRS. ASHLYNN BRISBEN OVERCASH NP
Nurse Practitioner
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-4490
STACEY HAYNES ARCHER CNM
Advanced Practice Midwife
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544

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 Nikki Householder's NPI number?

The NPI number for Nikki Householder is 1548152309. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Nikki Householder located?

Nikki Householder practices at 1350 S Kings Dr, Charlotte, NC 28207. The listed phone number is (704) 446-1255.

What is Nikki Householder's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nikki Householder enrolled in Medicare?

Yes. Nikki Householder 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.

When was this NPI record last updated?

The NPPES record for Nikki Householder was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.