KIRBY BANDOQUILLO NP
NPI 1598150195
Nurse Practitioner - Primary Care in Charlotte, NC
About Kirby Bandoquillo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIRBY BANDOQUILLO NP (NPI 1598150195) is an individual primary care provider in Charlotte, North Carolina, licensed in North Carolina (5018543) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and is a graduate of Georgetown University School Of Medicine (2014).
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
Kirby Bandoquillo Np 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 Reassignments
3Medicare enrollment records show Kirby Bandoquillo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlotte, NC 28202
- Reassigned Medicare billing, North Carolina enrollment
- 6 clinicians in this Medicare group
Charlotte, NC 28210
- Reassigned Medicare billing, North Carolina enrollment
- 300 clinicians in this Medicare group
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 3,885 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Atrium Health Pineville
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kirby Bandoquillo's NPI number?
The NPI number for Kirby Bandoquillo is 1598150195. It was assigned to this individual provider in the NPPES registry on March 31, 2015.
Where is Kirby Bandoquillo located?
Kirby Bandoquillo practices at 135 W 10th St, Charlotte, NC 28202. The listed phone number is (704) 626-3994.
What is Kirby Bandoquillo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kirby Bandoquillo enrolled in Medicare?
Yes. Kirby Bandoquillo 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 Kirby Bandoquillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kirby Bandoquillo reassigns Medicare benefits to 3 organizations: Reserve Health, PC (Charlotte, NC), Atrium Health Specialty Network Inc (Charlotte, NC) and Wellstar Medical Group, LLC (Roswell, GA). 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 Kirby Bandoquillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kirby Bandoquillo accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 5 other insurers list Kirby Bandoquillo 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 Kirby Bandoquillo affiliated with any hospitals?
According to CMS data, Kirby Bandoquillo is affiliated with Atrium Health Pineville.
When was this NPI record last updated?
The NPPES record for Kirby Bandoquillo was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Kirby Bandoquillo, NP · NPI 1598150195
Primary Care physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since March 31, 2015.
## Identity
- **NPI:** 1598150195 (Entity type: Individual)
- **Enumerated:** March 31, 2015
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 5018543 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 135 W 10TH ST, Charlotte, NC 28202-2229
- **Phone:** (704) 626-3994
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Reserve Health, PC (NPI 1659828291, Charlotte, NC); Atrium Health Specialty Network Inc (NPI 1538975636, Charlotte, NC); Wellstar Medical Group, LLC (NPI 1922405729, Roswell, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** May 1, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1598150195) · Data from the CMS NPPES public registry.