Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KATIE LEE HERSEY FNP-C
NPI 1639091622
Nurse Practitioner in Shallotte, NC

Q: What is Katie Hersey's NPI number?

The NPI number for Katie Hersey is 1639091622. It was assigned to this individual provider in the NPPES registry on July 29, 2026.

Q: What is Katie Hersey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katie Hersey was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.

Active since July 29, 2026PECOS Enrolled

5145 SELLERS RD, SHALLOTTE, NC 28470(910) 754-4441 Get Directions Write a Review

NPPES record added: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Jul 29, 2026 (2 updates tracked since 2026).

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About Katie Lee Hersey Fnp-c NPPES

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

KATIE LEE HERSEY FNP-C (NPI 1639091622) is an individual nurse practitioner in Shallotte, North Carolina, licensed in North Carolina (5025181) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1639091622

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKATIE LEE HERSEYCredential: FNP-C

Location Address5145 SELLERS RDShallotte, NC 28470-3405

Mailing Address1080 Ben Thomas Dr NeLeland, NC 28451-3153 · (802) 673-8100

Phone(910) 754-4441

Sole ProprietorNo

Enumeration DateJuly 29, 2026

Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration

NPPES CertifiedOctober 5, 2026

✔ NPI 1639091622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5025181

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.

5145 SELLERS RD, Shallotte, NC 28470

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Secondary Practice Location 1

Location 110810 Mallard Creek RdCharlotte, NC 28262-9786 · Phone (704) 510-8000 · Fax (704) 510-8006

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Lee Hersey Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 28470 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.

KATY FLINN JOHNSON PA-C

Physician Assistant