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KAMILLA I ZETER PA-C
NPI 1669284428
Physician Assistant in Charlotte, NC

Active since January 20, 2025PECOS EnrolledAccepts Medicare Assignment
130 PROVIDENCE RD STE 100, CHARLOTTE, NC 28207(704) 333-9113(975) 770-4333 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kamilla I Zeter Pa-c NPPES

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

KAMILLA I ZETER PA-C (NPI 1669284428) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-15367) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1669284428
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAMILLA I ZETERCredential: PA-C
Location Address130 PROVIDENCE RD STE 100Charlotte, NC 28207-1247
Mailing Address130 Providence Rd Ste 100Charlotte, NC 28207-1247 · (704) 333-9113 · Fax (704) 333-9757
Phone(704) 333-9113
Fax(975) 770-4333
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 20, 2025
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1669284428 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 · 0010-15367
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.
130 PROVIDENCE RD STE 100, 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

Kamilla I Zeter 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 ID4385136837
PECOS Enrollment IDI20251122001019
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 6

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

DR. ELIZABETH FAIRCLOTH ROSTAN M.D.
Dermatology
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9113
ELISABETH EVE CRUZ PA-C
Physician Assistant
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9113
ALEXANDRA CHANEL MONTGOMERY MD
Dermatology
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9112
CHARLOTTE SKIN & LASER, P.A.
Specialist
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9113
ALEXIS COELHO LEWIS PA-C
Physician Assistant
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9113
MRS. DIANA TONG ROETTING PA-C
Physician Assistant (Medical)
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9113

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 Kamilla Zeter's NPI number?

The NPI number for Kamilla Zeter is 1669284428. It was assigned to this individual provider in the NPPES registry on January 20, 2025.

Where is Kamilla Zeter located?

Kamilla Zeter practices at 130 Providence Rd Ste 100, Charlotte, NC 28207. The listed phone number is (704) 333-9113.

What is Kamilla Zeter's specialty?

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

Is Kamilla Zeter enrolled in Medicare?

Yes. Kamilla Zeter 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 Kamilla Zeter was last updated on August 22, 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.