1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Nurse Practitioner
  6. NPI Profile

PORNPILAI KECK NURSE PRACTITIONER
NPI 1558738922
Nurse Practitioner in Charlotte, NC

Active since September 01, 2015PECOS EnrolledAccepts Medicare Assignment
108 PROVIDENCE RD, CHARLOTTE, NC 28207(336) 481-8655 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 25, 2024, Mar 1, 2017 (2 updates tracked since 2017).

About Pornpilai Keck Nurse Practitioner NPPES

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

PORNPILAI KECK NURSE PRACTITIONER (NPI 1558738922) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5020321) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai St Luke's Roosevelt Hospital, and maintains a secondary practice location in Matthews.

NPPES Registry Identity

NPI1558738922
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePORNPILAI KECKCredential: NURSE PRACTITIONER
Location Address108 PROVIDENCE RDCharlotte, NC 28207-1218
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 481-8655 · Fax (336) 277-9165
Phone(336) 481-8655
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 2014
Enumeration DateSeptember 1, 2015
Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
✔ NPI 1558738922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5020321
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License F307124 (NY)
108 PROVIDENCE RD, Charlotte, NC 28207
Open in Google Maps ↗

Secondary Practice Location 1

Location 11450 Matthews Township Pkwy Ste 350Matthews, NC 28105-2388 · Phone (704) 841-8877 · Fax (704) 841-8188

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

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

Pornpilai Keck Nurse Practitioner 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 ID1850691205
PECOS Enrollment IDI20240925000852
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services67 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
37 services35 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
37 services33 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
37 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

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
$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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNIFER STARNES MARTYAK MSN, NP-C
Nurse Practitioner
108 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (336) 481-8655
NOVANT HEALTH EMPLOYER SOLUTIONS, LLC
Preventive Medicine (Occupational Medicine)
108 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (000) 000-0000
MRS. STACI SITHEMBILE HARRIS NP
Nurse Practitioner
108 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (704) 287-8604
NOVANT MEDICAL GROUP, INC
Family Medicine
108 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-9679
DR. ROBERT ANTHONY BARNABEI MD
Family Medicine
108 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (336) 481-8655
NOVANT HEALTH EMPLOYER SOLUTIONS, LLC
Preventive Medicine (Occupational Medicine)
108 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (336) 607-4992
NOVANT HEALTH MEDICAL GROUP, LLC
Family Medicine
108 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (336) 481-8655
DR. MICHELLE MARIE STOWE M.D.
Internal Medicine
108 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (336) 481-8655

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 Pornpilai Keck's NPI number?

The NPI number for Pornpilai Keck is 1558738922. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Pornpilai Keck located?

Pornpilai Keck practices at 108 Providence Rd, Charlotte, NC 28207. The listed phone number is (336) 481-8655.

What is Pornpilai Keck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Pornpilai Keck enrolled in Medicare?

Yes. Pornpilai Keck 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.

What insurance does Pornpilai Keck accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Pornpilai Keck 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 Pornpilai Keck affiliated with any hospitals?

According to CMS data, Pornpilai Keck is affiliated with Mount Sinai St Luke's Roosevelt Hospital and Novant Health Matthews Medical Center.

When was this NPI record last updated?

The NPPES record for Pornpilai Keck was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.