KELLY WALTON TANNER FNP
NPI 1679302327
Nurse Practitioner - Family in Gastonia, NC
About Kelly Walton Tanner Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY WALTON TANNER FNP (NPI 1679302327) is an individual family provider in Gastonia, North Carolina, licensed in North Carolina (5020562) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salisbury, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Kelly Walton Tanner Fnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GASTONIA, NC 28052
GASTONIA, NC 28052
GASTONIA, NC 28052
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 Kelly Tanner's NPI number?
The NPI number for Kelly Tanner is 1679302327. It was assigned to this individual provider in the NPPES registry on July 31, 2024.
Where is Kelly Tanner located?
Kelly Tanner practices at 111 E 3rd Ave, Gastonia, NC 28052. The listed phone number is (704) 874-3300.
What is Kelly Tanner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Tanner enrolled in Medicare?
Yes. Kelly Tanner 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 Kelly Tanner accept?
Health plans from Blue Cross and Blue Shield of NC list Kelly Tanner 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 Kelly Tanner was last updated on September 16, 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.
# Kelly Walton Tanner, FNP · NPI 1679302327
Family physician in Gastonia, North Carolina. Individual provider, active in the CMS NPPES registry since July 31, 2024.
## Identity
- **NPI:** 1679302327 (Entity type: Individual)
- **Enumerated:** July 31, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5020562 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 E 3RD AVE, Gastonia, NC 28052-4317
- **Phone:** (704) 874-3300 · **Fax:** (704) 874-0065
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679302327) · Data from the CMS NPPES public registry.