KAYSE SHAY MCGOVERN APRN
NPI 1558637009
Nurse Practitioner - Pediatrics in Charlotte, NC

Active since March 29, 2012PECOS EnrolledAccepts Medicare Assignment
10620 PARK RD STE 202, CHARLOTTE, NC 28210(704) 667-0920 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2025, May 22, 2025, Jun 30, 2024 and 1 more (4 updates tracked since 2020).

About Kayse Shay Mcgovern Aprn NPPES

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

KAYSE SHAY MCGOVERN APRN (NPI 1558637009) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (5020342) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Downers Grove, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1558637009
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKAYSE SHAY MCGOVERNCredential: APRN
Location Address10620 PARK RD STE 202Charlotte, NC 28210-0106
Mailing Address10620 Park Rd Ste 202Charlotte, NC 28210-0106 · (704) 667-0920
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 29, 2012
Last NPPES UpdateDecember 30, 20254 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1558637009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in NC · 5020342✔ Licensed in MA · RN2270015✔ Licensed in WI · 102603-875
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License RN2270015 (MA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209-033176 (IL)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN9416624 (FL)
10620 PARK RD STE 202, Charlotte, NC 28210

Secondary Practice Location 1

Location 11441 Branding Ave Ste 310Downers Grove, IL 60515-5624 · Phone (262) 693-4312

Other Identifiers 1

Medicaid100322236WI

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

Kayse Shay Mcgovern Aprn 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 ID6901138700
PECOS Enrollment IDI20250924000279, I20251007001610
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kayse Mcgovern reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
10620 PARK RD STE 202
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
General Acute Care Hospital
304 TURNER MCCALL BLVD SW
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • 232 clinicians in this Medicare group
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
General Acute Care Hospital
1304 FRANKLIN AVE
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
Family Medicine
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 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 28210 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.

Family Medicine
10620 PARK RD STE 202
CHARLOTTE, NC 28210
Physician Assistant
10620 PARK RD STE 202
CHARLOTTE, NC 28210
Family Medicine
10620 PARK RD STE 202
CHARLOTTE, NC 28210
Nurse Practitioner (Family)
10620 PARK RD STE 202
CHARLOTTE, NC 28210
Nurse Practitioner
10620 PARK RD STE 202
CHARLOTTE, NC 28210
Nurse Practitioner
10620 PARK RD STE 202
CHARLOTTE, NC 28210
Family Medicine
10620 PARK RD STE 202
CHARLOTTE, NC 28210
Physician Assistant
10620 PARK RD STE 202
CHARLOTTE, NC 28210

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 Kayse Mcgovern's NPI number?

The NPI number for Kayse Mcgovern is 1558637009. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Kayse Mcgovern located?

Kayse Mcgovern practices at 10620 Park Rd Ste 202, Charlotte, NC 28210. The listed phone number is (704) 667-0920.

What is Kayse Mcgovern's specialty?

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

Is Kayse Mcgovern enrolled in Medicare?

Yes. Kayse Mcgovern 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 organizations bill Medicare for Kayse Mcgovern's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayse Mcgovern reassigns Medicare benefits to 5 organizations: Carolinas Physicians Network, Inc (Charlotte, NC), Floyd Healthcare Management Inc (Rome, GA), Florida Hospital Medical Group Inc (Orlando, FL), Advocate Health And Hospitals Corp. (Normal, IL) and Aurora Medical Group, Inc. (Milwaukee, WI). Each 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 Kayse Mcgovern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kayse Mcgovern accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of South Carolina, CareSource (Common Ground Healthcare), InStil Health and Network Health and 4 other insurers list Kayse Mcgovern 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 Kayse Mcgovern was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.